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
AMNIOTIC MEM EYE 431X-561
Mt Shasta, CA
See all hospitals reporting HCPCS V2790 →Price type
Dignity Health’s median price of $2.0k is 11% above the median hospital's median price ($1.8k), higher than 53% of the 976 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, 24 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 | Aetna medicare|all plans fee schedule · outpatient | $759 | $869 | $358 | 41% | — | $507 – $1.5k |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $759 | $869 | $358 | 41% | — | $507 – $1.5k |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $759 | $869 | $358 | 41% | — | $507 – $1.5k |
| 4 | Humana medicare|all plans fee schedule · outpatient | $759 | $869 | $358 | 41% | — | $507 – $1.5k |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $759 | $869 | $358 | 41% | — | $507 – $1.5k |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $759 | $869 | $358 | 41% | — | $507 – $1.5k |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $791 | $905 | $373 | 41% | — | $528 – $1.5k |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $791 | $905 | $373 | 41% | — | $528 – $1.5k |
| 9 | Cigna commercial|all other plans fee schedule · inpatient | $2.6k | $3.0k | $1.2k | 41% | — | $1.7k – $5.0k |
| 10 | Cigna commercial|all other plans fee schedule · outpatient | $2.6k | $3.0k | $1.2k | 41% | — | $1.7k – $5.0k |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $2.6k | $3.0k | $1.2k | 41% | — | $1.7k – $5.0k |
| 12 | Cigna commercial|ppo fee schedule · outpatient | $2.6k | $3.0k | $1.2k | 41% | — | $1.7k – $5.0k |
| 13 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $2.7k | $3.1k | $1.3k | 41% | — | $1.8k – $5.2k |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $2.7k | $3.1k | $1.3k | 41% | — | $1.8k – $5.2k |
| 15 | Aetna commercial|all other plans fee schedule · outpatient | $2.8k | $3.2k | $1.3k | 41% | — | $1.8k – $5.3k |
| 16 | Aetna commercial|hmo fee schedule · outpatient | $2.8k | $3.2k | $1.3k | 41% | — | $1.8k – $5.3k |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $2.8k | $3.2k | $1.3k | 41% | — | $1.8k – $5.3k |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $2.8k | $3.2k | $1.3k | 41% | — | $1.9k – $5.3k |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $2.8k | $3.2k | $1.3k | 41% | — | $1.9k – $5.3k |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $2.8k | $3.2k | $1.3k | 41% | — | $1.9k – $5.3k |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $2.8k | $3.2k | $1.3k | 41% | — | $1.9k – $5.3k |
| 22 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $2.8k | $3.2k | $1.3k | 41% | — | $1.9k – $5.3k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $3.1k | $3.5k | $1.5k | 41% | — | $2.1k – $5.9k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $3.1k | $3.5k | $1.5k | 41% | — | $2.1k – $5.9k |
Last updated: Feb 28, 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.