| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | J2357 | $43 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | J2357 | $43 [source] | 4 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | J2357 | $43 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | J2357 | $43 [source] | 4 years ago |
| Aspirus Medford Hospital | 135 S Gibson St, Medford | J2357 | $43 [source] | 4 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J2357 | $52 [source] | 4 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | J2357 | $79 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J2357 | $114 [source] | 4 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | J2357 | $170 [source] | 4 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | J2357 | $174 [source] | 4 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | J2357 | $180 [source] | 4 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | J2357 | $215 [source] | 4 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | J2357 | $221 [source] | 4 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | J2357 | $244 [source] | 4 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | J2357 | $251 [source] | 4 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | J2357 | $251 [source] | 4 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | J2357 | $251 [source] | 4 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | J2357 | $263 [source] | 4 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | J2357 | $267 [source] | 4 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | J2357 | $275 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | J2357 | $310 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | J2357 | $313 [source] | 4 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | J2357 | $348 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | J2357 | $1,730 [source] | 4 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | J2357 | $2,493 [source] | 4 years ago |