| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | Q5104 | $87 [source] | 3 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | Q5104 | $115 [source] | 3 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | Q5104 | $158 [source] | 3 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | Q5104 | $296 [source] | 3 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | Q5104 | $302 [source] | 3 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | Q5104 | $343 [source] | 3 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | Q5104 | $348 [source] | 3 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | Q5104 | $370 [source] | 3 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | Q5104 | $429 [source] | 3 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | Q5104 | $433 [source] | 3 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | Q5104 | $434 [source] | 3 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | Q5104 | $448 [source] | 3 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | Q5104 | $469 [source] | 3 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | Q5104 | $470 [source] | 3 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | Q5104 | $473 [source] | 3 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | Q5104 | $545 [source] | 3 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | Q5104 | $549 [source] | 3 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | Q5104 | $586 [source] | 3 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | Q5104 | $1,773 [source] | 3 years ago |