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
Amphotericin b lipid complex
Low
$7
Average
$156
Median
$10
High
$2.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 43.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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52 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 7 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 8 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 17 | Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 18 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | Jefferson County HMA LLC Jefferson City, TN facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting HCPCS J0287 · Snapshot 20261111T120946Z-9134e7f7