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
ALLOGRAFT HUMAN TISSUE NUCEL SM 0.5ML BIOACTIVE AMNIOTIC FLUID
Low
$0
Average
$3.1k
Median
$2.2k
High
$23.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
410 hospitals; the 90th percentile is 11.9× 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
515 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $225 | $283 | $178 | 63% | 72–720 | $87 – $841 |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $252 | $384 | $305 | 79% | 36–360 | $79 – $1.2k |
| 3 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $3.7k | $4.0k | $1.9k | 47% | 21–210 | $1.2k – $9.5k |
| 4 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $5.0k | $5.0k | — | — | 20–200 | $5.0k – $5.0k |
| 5 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · outpatient | 2 | $1.3k | $1.3k | $501 | 40% | 16–160 | $763 – $1.8k |
| 6 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.7k | $4.5k | $4.4k | 98% | 14–140 | $607 – $21.3k |
| 7 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.7k | $4.5k | $4.4k | 98% | 14–140 | $607 – $21.3k |
| 8 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $1.8k | $2.0k | $676 | 34% | 9–90 | $914 – $3.6k |
| 9 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $1.1k | $2.8k | $3.3k | 120% | 8–80 | $66 – $9.7k |
| 10 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 50 | $402 | $402 | — | — | 5–50 | $402 – $402 |
| 11 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $1.5k | $1.5k | $429 | 28% | 4–40 | $1.1k – $2.5k |
| 12 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $1.5k | $1.5k | $429 | 28% | 4–40 | $1.1k – $2.5k |
| 13 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $1.2k | $1.4k | $432 | 30% | 3–30 | $968 – $2.5k |
| 14 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $811 | $863 | $109 | 13% | 3–30 | $708 – $1.1k |
| 15 | Highsmith-Rainey Specialty Hospital Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 16 | Hillsdale Hospital Hillsdale, MI percent of total billed charges · bothfrom % of charges | 1 | $909 | $909 | — | — | 1–10 | $909 – $909 |
| 17 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 3 | $1.5k | $1.9k | $725 | 39% | 1–10 | $1.3k – $2.9k |
| 18 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 3 | $1.5k | $1.9k | $725 | 39% | 1–10 | $1.3k – $2.9k |
| 19 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $1.7k | $2.2k | $810 | 37% | — | $1.4k – $3.2k |
| 20 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $1.1k | $2.0k | $1.4k | 73% | — | $713 – $4.6k |
| 21 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1.1k | $1.9k | $1.4k | 73% | — | $709 – $4.4k |
| 22 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.0k | $1.9k | $1.4k | 73% | — | $709 – $4.4k |
| 23 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $4.5k | $4.8k | $3.1k | 65% | — | $717 – $9.0k |
| 24 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $4.4k | $4.2k | $2.9k | 68% | — | $485 – $9.0k |
| 25 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $2.1k | $2.2k | $1.4k | 65% | — | $342 – $4.1k |
← Payers reporting HCPCS V2790 · Snapshot 20261111T120946Z-9134e7f7