| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | Q5103 | $80 [source] | 3 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | Q5103 | $106 [source] | 3 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | Q5103 | $146 [source] | 3 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | Q5103 | $233 [source] | 3 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | Q5103 | $239 [source] | 3 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | Q5103 | $263 [source] | 3 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | Q5103 | $283 [source] | 3 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | Q5103 | $285 [source] | 3 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | Q5103 | $285 [source] | 3 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | Q5103 | $285 [source] | 3 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | Q5103 | $296 [source] | 3 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | Q5103 | $316 [source] | 3 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | Q5103 | $337 [source] | 3 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | Q5103 | $342 [source] | 3 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | Q5103 | $343 [source] | 3 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | Q5103 | $350 [source] | 3 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | Q5103 | $373 [source] | 3 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | Q5103 | $468 [source] | 3 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | Q5103 | $1,285 [source] | 3 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | Q5103 | $2,092 [source] | 3 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | Q5103 | $4,998 [source] | 3 years ago |