| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J0636 | $2 [source] | 4 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | J0636 | $3 [source] | 4 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | J0636 | $33 [source] | 4 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | J0636 | $34 [source] | 4 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | J0636 | $37 [source] | 4 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | J0636 | $39 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | J0636 | $41 [source] | 4 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | J0636 | $42 [source] | 4 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | J0636 | $42 [source] | 4 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | J0636 | $45 [source] | 4 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | J0636 | $53 [source] | 4 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | J0636 | $53 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | J0636 | $56 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | J0636 | $57 [source] | 4 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | J0636 | $60 [source] | 4 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | J0636 | $63 [source] | 4 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | J0636 | $70 [source] | 4 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | J0636 | $89 [source] | 4 years ago |