| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | J1626 | $1 [source] | 4 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | J1626 | $32 [source] | 4 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | J1626 | $33 [source] | 4 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | J1626 | $35 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | J1626 | $40 [source] | 4 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | J1626 | $40 [source] | 4 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | J1626 | $51 [source] | 4 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | J1626 | $51 [source] | 4 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | J1626 | $58 [source] | 4 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | J1626 | $62 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | J1626 | $71 [source] | 4 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | J1626 | $71 [source] | 4 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | J1626 | $71 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | J1626 | $71 [source] | 4 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | J1626 | $87 [source] | 4 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | J1626 | $119 [source] | 4 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | J1626 | $133 [source] | 4 years ago |