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
Ampho b cholesteryl sulfate
Low
$40
Average
$720
Median
$454
High
$1.6k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 40.5× 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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12 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 3 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 7 | DIGNITY HEALTH Santa Cruz, CA fee schedule · inpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | DIGNITY HEALTH Santa Cruz, CA fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 9 | DIGNITY HEALTH San Bernardino, CA fee schedule · inpatient | 1 | $869 | $869 | — | — | — | $869 – $869 |
| 10 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 1 | $869 | $869 | — | — | — | $869 – $869 |
| 11 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Pike Health Services Inc Waverly, OH facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
← Payers reporting HCPCS J0288 · Snapshot 20261112T181611Z-3fa9fb76