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
$231
Median
$17
High
$19.5k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
97 hospitals; the 90th percentile is 5.1× 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
121 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $19 | $22 | $3 | 15% | — | $19 – $26 |
| 7 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 12 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 13 | Carmel AmbSurg Carmel, IN fee schedule · both | 3 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 8 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Centennial Hills Las Vegas, NV case rate · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Childrens Hospital of Los Angeles Angeles, CA facility · fee schedule · outpatient | 3 | $3 | $3 | $0 | 7% | — | $3 – $3 |
| 18 | Childrens Hospital of Los Angeles Angeles, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 19 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 4 | $3 | $4 | $1 | 23% | — | $3 – $5 |
| 20 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 21 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $19 | $17 | $5 | 27% | — | $7 – $19 |
| 22 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $19 | $17 | $5 | 30% | — | $6 – $19 |
| 23 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 24 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 25 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
← Payers reporting CPT 95125 · Snapshot 20261113T090226Z-3ce6c0b8