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
TISSUE SCLERA IMPLANT 1/4
Rochester, MN
See all hospitals reporting HCPCS V2790 →Price type
Mayo Clinic’s median price of $1.2k is 34% below the median hospital's median price ($1.8k), higher than 31% 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: 18 payers, 54 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $380 | $726 | $797 | 110% | — | $66 – $2.1k |
| 2 | Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges | $380 | $726 | $797 | 110% | — | $66 – $2.1k |
| 3 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $380 | $726 | $797 | 110% | — | $66 – $2.1k |
| 4 | Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $380 | $726 | $797 | 110% | — | $66 – $2.1k |
| 5 | Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $380 | $726 | $797 | 110% | — | $66 – $2.1k |
| 6 | Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges | $380 | $726 | $797 | 110% | — | $66 – $2.1k |
| 7 | UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $380 | $726 | $797 | 110% | — | $66 – $2.1k |
| 8 | Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges | $891 | $1.7k | $1.9k | 110% | — | $154 – $4.9k |
| 9 | Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges | $920 | $1.8k | $1.9k | 110% | — | $159 – $5.0k |
| 10 | Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges | $920 | $1.8k | $1.9k | 110% | — | $159 – $5.0k |
| 11 | Optum medica ma medicare advantage plan behavioral health [1350] facility · percent of total billed charges · bothfrom % of charges | $1.1k | $2.1k | $2.3k | 110% | — | $192 – $6.1k |
| 12 | Blue Cross Blue Shield blue cross blue shield aco [851] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.4k | 110% | 4–40 | $277 – $8.8k |
| 13 | Blue Cross Blue Shield winona health [1287] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.4k | 110% | — | $277 – $8.8k |
| 14 | Ucare ucare ifp [1108] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.4k | 110% | — | $277 – $8.8k |
| 15 | Blue Cross Blue Shield blue cross blue shield fep [874] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.4k | 110% | — | $278 – $8.8k |
| 16 | Anthem blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.5k | 110% | — | $284 – $9k |
| 17 | Blue Cross Blue Shield blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.5k | 110% | 4–40 | $284 – $9k |
| 18 | Blue Cross Blue Shield complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.5k | 110% | — | $284 – $9k |
| 19 | Blue Cross Blue Shield transplant bcbs [1140] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.5k | 110% | — | $284 – $9k |
| 20 | Healthpartners complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.5k | 110% | — | $284 – $9k |
| 21 | Medica az medica non mayo employees group [754] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.5k | 110% | — | $284 – $9k |
| 22 | Medica by plan [76] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.5k | 110% | — | $284 – $9k |
| 23 | Medica deanhp by medica west mc hmo 90 pct [1349] facility · percent of total billed charges · bothfrom % of charges | $1.6k | $3.1k | $3.5k | 110% | — | $284 – $9k |
| 24 | Healthpartners transplant [692] facility · percent of total billed charges · bothfrom % of charges | $1.7k | $3.2k | $3.5k | 110% | — | $287 – $9.1k |
| 25 | Optum united healthcare [1041] facility · percent of total billed charges · bothfrom % of charges | $1.7k | $3.2k | $3.5k | 110% | — | $287 – $9.1k |
Last updated: Aug 14, 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.