| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J3240 | $2,315 [source] | 4 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | J3240 | $2,685 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | J3240 | $2,685 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | J3240 | $2,685 [source] | 4 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | J3240 | $2,896 [source] | 4 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | J3240 | $3,645 [source] | 4 years ago |
| Adventhealth Durand | 1220 3Rd Ave W, Durand | J3240 | $5,101 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J3240 | $5,186 [source] | 4 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | J3240 | $5,610 [source] | 4 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | J3240 | $5,734 [source] | 4 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | J3240 | $5,962 [source] | 4 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | J3240 | $6,637 [source] | 4 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | J3240 | $7,217 [source] | 4 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | J3240 | $8,108 [source] | 4 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | J3240 | $8,133 [source] | 4 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | J3240 | $8,252 [source] | 4 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | J3240 | $8,674 [source] | 4 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | J3240 | $8,745 [source] | 4 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | J3240 | $9,181 [source] | 4 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | J3240 | $9,185 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | J3240 | $10,427 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | J3240 | $10,502 [source] | 4 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | J3240 | $10,620 [source] | 4 years ago |