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
HC V2790 AMNIOTIC MEMBRANE
Orange, TX
See all hospitals reporting HCPCS V2790 →Price type
CHRISTUS Hospital - Orange’s median price of $6.4k is 264% above the median hospital's median price ($1.8k), higher than 90% 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: 11 payers, 28 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 | Molina chip km fee schedule · outpatient | $544 | $544 | — | — | — | $544 – $544 |
| 2 | Molina star km fee schedule · outpatient | $544 | $544 | — | — | — | $544 – $544 |
| 3 | Molina star plus km fee schedule · outpatient | $544 | $544 | — | — | — | $544 – $544 |
| 4 | UnitedHealthcare chip km fee schedule · outpatient | $544 | $544 | — | — | — | $544 – $544 |
| 5 | UnitedHealthcare star kid km fee schedule · outpatient | $544 | $544 | — | — | — | $544 – $544 |
| 6 | UnitedHealthcare star km fee schedule · outpatient | $544 | $544 | — | — | — | $544 – $544 |
| 7 | UnitedHealthcare star plus km fee schedule · outpatient | $544 | $544 | — | — | — | $544 – $544 |
| 8 | Humana choicecare other · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 9 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | $155 | 5% | — | $3.1k – $3.4k |
| 10 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | $193 | 5% | — | $3.9k – $4.2k |
| 11 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $5.3k | $5.3k | $251 | 5% | — | $5.0k – $5.5k |
| 12 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $5.7k | $5.7k | $270 | 5% | — | $5.4k – $5.9k |
| 13 | Bcbs Tx blue advantage hmo percent of total billed charges · outpatientfrom % of charges | $6.1k | $6.1k | $290 | 5% | — | $5.8k – $6.4k |
| 14 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $6.1k | $6.1k | $290 | 5% | — | $5.8k – $6.4k |
| 15 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | $322 | 5% | — | $6.4k – $7.1k |
| 16 | Bcbs Tx heb percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | $335 | 5% | — | $6.7k – $7.4k |
| 17 | Bcbs Tx hmo percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | $335 | 5% | — | $6.7k – $7.4k |
| 18 | Bcbs Tx ppo percent of total billed charges · outpatientfrom % of charges | $7.8k | $7.8k | $374 | 5% | — | $7.5k – $8.2k |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $8.1k | $8.1k | $386 | 5% | — | $7.7k – $8.5k |
| 20 | Bcbs Tx traditional percent of total billed charges · outpatientfrom % of charges | $8.2k | $8.2k | $393 | 5% | — | $7.9k – $8.6k |
| 21 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $8.4k | $8.4k | $399 | 5% | — | $8.0k – $8.8k |
| 22 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $8.8k | $8.8k | $419 | 5% | — | $8.4k – $9.2k |
| 23 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $9.1k | $9.1k | $551 | 6% | — | $8.4k – $9.9k |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $9.1k | $9.1k | $551 | 6% | — | $8.4k – $9.9k |
| 25 | Aetna epo percent of total billed charges · outpatientfrom % of charges | $9.3k | $9.3k | $444 | 5% | — | $8.9k – $9.8k |
Last updated: Jan 13, 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.