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
$129
Median
$27
High
$555
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 152.4× 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.
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12 hospital rates
iThe hospitals that file a Kaiser 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 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 2 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 3 | Childrens Hospital of Los Angeles Angeles, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $13 | $13 | $6 | 46% | — | $7 – $19 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $13 | $13 | $7 | 52% | — | $6 – $19 |
| 7 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · both | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 9 | University Medical Center of Southern Nevada Las Vegas, NV fee schedule · outpatient | 4 | $18 | $18 | $13 | 72% | — | $5 – $31 |
| 10 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 1 | $555 | $555 | — | — | — | $555 – $555 |
| 11 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 1 | $555 | $555 | — | — | — | $555 – $555 |
| 12 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 2 | $26 | $26 | $8 | 32% | — | $17 – $34 |
← Payers reporting CPT 95125 · Snapshot 20261113T090226Z-3ce6c0b8