| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J7321 | $112 [source] | 4 years ago |
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | J7321 | $114 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J7321 | $253 [source] | 4 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | J7321 | $283 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | J7321 | $283 [source] | 4 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | J7321 | $283 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | J7321 | $283 [source] | 4 years ago |
| Adventhealth Durand | 1220 3Rd Ave W, Durand | J7321 | $315 [source] | 4 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | J7321 | $736 [source] | 4 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | J7321 | $752 [source] | 4 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | J7321 | $812 [source] | 4 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | J7321 | $888 [source] | 4 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | J7321 | $912 [source] | 4 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | J7321 | $1,068 [source] | 4 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | J7321 | $1,071 [source] | 4 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | J7321 | $1,077 [source] | 4 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | J7321 | $1,134 [source] | 4 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | J7321 | $1,148 [source] | 4 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | J7321 | $1,191 [source] | 4 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | J7321 | $1,194 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | J7321 | $1,363 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | J7321 | $1,373 [source] | 4 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | J7321 | $1,416 [source] | 4 years ago |