| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | J9033 | $22 [source] | 4 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J9033 | $42 [source] | 4 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | J9033 | $60 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J9033 | $82 [source] | 4 years ago |
| Adventhealth Durand | 1220 3Rd Ave W, Durand | J9033 | $1,499 [source] | 4 years ago |