| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J2505 | $6,555 [source] | 4 years ago |
| Aspirus Medford Hospital | 135 S Gibson St, Medford | J2505 | $6,832 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | J2505 | $6,832 [source] | 4 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | J2505 | $6,832 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | J2505 | $6,832 [source] | 4 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | J2505 | $8,578 [source] | 4 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | J2505 | $9,530 [source] | 4 years ago |
| Adventhealth Durand | 1220 3Rd Ave W, Durand | J2505 | $12,771 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J2505 | $12,984 [source] | 4 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | J2505 | $15,109 [source] | 4 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | J2505 | $15,373 [source] | 4 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | J2505 | $15,388 [source] | 4 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | J2505 | $15,728 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | J2505 | $16,266 [source] | 4 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | J2505 | $16,374 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | J2505 | $16,382 [source] | 4 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | J2505 | $18,168 [source] | 4 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | J2505 | $22,230 [source] | 4 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | J2505 | $22,301 [source] | 4 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | J2505 | $22,301 [source] | 4 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | J2505 | $22,645 [source] | 4 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | J2505 | $23,770 [source] | 4 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | J2505 | $24,013 [source] | 4 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | J2505 | $29,082 [source] | 4 years ago |