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
AMNIOGRAFT 2.0X1.5 CM SIZE B +
Falls, MT
See all hospitals reporting HCPCS V2790 →Price type
Benefis Hospitals Inc’s median price of $3.5k is 98% above the median hospital's median price ($1.8k), higher than 76% of the 981 hospitals reporting HCPCS V2790. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient | $629 | $629 | — | — | — | $629 – $629 |
| 2 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $839 | $839 | — | — | — | $839 – $839 |
| 3 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 4 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 5 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 6 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 7 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 8 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 9 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | Cigna bhs hb allegiance percent of total billed charges · bothfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 11 | Healthpartners bhs hb allegiance percent of total billed charges · bothfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 12 | Kaiser bhs hb allegiance percent of total billed charges · bothfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 13 | Medical Mutual bhs hb allegiance percent of total billed charges · bothfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 14 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 15 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 16 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Last updated: Mar 26, 2026
See Amniotic membrane tissue graft, 2.0 x 1.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.