| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J1442 | $1 [source] | 4 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | J1442 | $2 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J1442 | $3 [source] | 4 years ago |
| Aspirus Medford Hospital | 135 S Gibson St, Medford | J1442 | $3 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | J1442 | $3 [source] | 4 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | J1442 | $3 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | J1442 | $3 [source] | 4 years ago |
| Adventhealth Durand | 1220 3Rd Ave W, Durand | J1442 | $723 [source] | 4 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | J1442 | $932 [source] | 4 years ago |