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
4072790 AMNIOTIC MEMBRANE[Omnicell EP Lab]
Wayne, IN
See all hospitals reporting HCPCS V2790 →Price type
St. Joseph Health System, LLC’s median price of $14.0k is 690% above the median hospital's median price ($1.8k), higher than 98% 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: 7 payers, 20 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 | UnitedHealthcare uhc apa facility · other · outpatient | $8.3k | $8.1k | $231 | 3% | — | $7.9k – $8.3k |
| 2 | UnitedHealthcare uhc options ppo facility · other · outpatient | $8.3k | $8.1k | $231 | 3% | — | $7.9k – $8.3k |
| 3 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $8.6k | $8.5k | $240 | 3% | — | $8.2k – $8.6k |
| 4 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $8.6k | $8.5k | $240 | 3% | — | $8.2k – $8.6k |
| 5 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.5k | $269 | 3% | — | $9.2k – $9.7k |
| 6 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $9.7k | $9.5k | $269 | 3% | — | $9.2k – $9.7k |
| 7 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.5k | $269 | 3% | — | $9.2k – $9.7k |
| 8 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $12.3k | $12.0k | $341 | 3% | — | $11.6k – $12.3k |
| 9 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $18.2k | $17.8k | $505 | 3% | — | $17.2k – $18.2k |
| 10 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $18.5k | $18.1k | $512 | 3% | — | $17.4k – $18.5k |
| 11 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $18.5k | $18.1k | $512 | 3% | — | $17.4k – $18.5k |
| 12 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $20.1k | $19.6k | $557 | 3% | — | $18.9k – $20.1k |
| 13 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $20.1k | $19.6k | $557 | 3% | — | $18.9k – $20.1k |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $20.9k | $20.4k | $579 | 3% | — | $19.7k – $20.9k |
| 15 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $20.9k | $20.4k | $579 | 3% | — | $19.7k – $20.9k |
| 16 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $21.4k | $20.9k | $594 | 3% | — | $20.2k – $21.4k |
| 17 | Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $26.8k | $26.2k | $742 | 3% | — | $25.3k – $26.8k |
| 18 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $26.8k | $26.2k | $742 | 3% | — | $25.3k – $26.8k |
| 19 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $26.8k | $26.2k | $742 | 3% | — | $25.3k – $26.8k |
| 20 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $26.8k | $26.2k | $742 | 3% | — | $25.3k – $26.8k |
Last updated: Apr 1, 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.