| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J0834 | $60 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | J0834 | $73 [source] | 4 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | J0834 | $84 [source] | 4 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | J0834 | $95 [source] | 4 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | J0834 | $97 [source] | 4 years ago |
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | J0834 | $108 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J0834 | $116 [source] | 4 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | J0834 | $123 [source] | 4 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | J0834 | $133 [source] | 4 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | J0834 | $134 [source] | 4 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | J0834 | $135 [source] | 4 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | J0834 | $136 [source] | 4 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | J0834 | $141 [source] | 4 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | J0834 | $143 [source] | 4 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | J0834 | $143 [source] | 4 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | J0834 | $145 [source] | 4 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | J0834 | $160 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | J0834 | $172 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | J0834 | $174 [source] | 4 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | J0834 | $207 [source] | 4 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | J0834 | $258 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | J0834 | $331 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | J0834 | $331 [source] | 4 years ago |