| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J3380 | $28 [source] | 4 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | J3380 | $43 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J3380 | $62 [source] | 4 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | J3380 | $113 [source] | 4 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | J3380 | $118 [source] | 4 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | J3380 | $120 [source] | 4 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | J3380 | $160 [source] | 4 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | J3380 | $160 [source] | 4 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | J3380 | $167 [source] | 4 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | J3380 | $170 [source] | 4 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | J3380 | $175 [source] | 4 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | J3380 | $176 [source] | 4 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | J3380 | $178 [source] | 4 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | J3380 | $181 [source] | 4 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | J3380 | $194 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | J3380 | $213 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | J3380 | $216 [source] | 4 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | J3380 | $249 [source] | 4 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | J3380 | $3,152 [source] | 4 years ago |
| Adventhealth Durand | 1220 3Rd Ave W, Durand | J3380 | $10,255 [source] | 4 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | J3380 | $14,808 [source] | 4 years ago |