Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ALL IMM EXT TWO OR MORE INJ
Low
$3
Average
$700
Median
$25
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
153 hospitals; the 90th percentile is 70.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
165 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $17 | $17 | — | — | — | $17 – $17 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $6 | $6 | $0 | 4% | — | $6 – $7 |
| 5 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $39 | $39 | $0 | 0% | — | $39 – $39 |
| 6 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 8 | BASSETT HOSPITAL OF SCHOHARIE COUNTY Cobleskill, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 10 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $33 | $33 | $0 | 1% | — | $33 – $33 |
| 11 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 12 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $162 | $162 | — | — | — | $162 – $162 |
| 13 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $17 | $22 | $7 | 32% | — | $17 – $33 |
| 14 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 15 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 16 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 17 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 18 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 3 | $22 | $23 | $0 | 2% | — | $22 – $23 |
| 19 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 2 | $6 | $6 | $0 | 5% | — | $6 – $7 |
| 20 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 2 | $6 | $6 | $0 | 5% | — | $6 – $7 |
| 21 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 22 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 24 | Childrens Hospital of Los Angeles Angeles, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 25 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting CPT 95125 · Snapshot 20261113T090226Z-3ce6c0b8