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 LIPOSOME 50 MG INTRAVENOUS SUSPENSION
Low
$19
Average
$188
Median
$43
High
$1.6k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
140 hospitals; the 90th percentile is 23.7× 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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182 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $29 | $29 | $1 | 2% | — | $27 – $29 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $29 | $31 | $9 | 30% | — | $15 – $50 |
| 3 | Abington Memorial Hospital Abington, PA facility · fee schedule · inpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 2 | $36 | $36 | $14 | 39% | — | $22 – $50 |
| 5 | Abington Memorial Hospital Abington, PA professional · fee schedule · both | 3 | $24 | $29 | $9 | 32% | — | $22 – $43 |
| 6 | Albert Einstein Medical Center Philadelphia, PA fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 7 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 2 | $21 | $21 | — | — | — | $21 – $21 |
| 9 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 3 | $19 | $20 | $1 | 7% | — | $19 – $22 |
| 10 | Armstrong County Memorial Hospital Kittanning, PA facility · other · outpatient | 4 | $46 | $41 | $10 | 25% | — | $24 – $50 |
| 11 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $24 | $24 | $0 | 1% | — | $23 – $24 |
| 14 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $36 | $36 | $11 | 31% | — | $21 – $50 |
| 15 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $81 | $81 | — | — | — | $81 – $81 |
| 16 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $29 | $29 | $1 | 2% | — | $27 – $29 |
| 17 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $29 | $30 | $9 | 28% | — | $15 – $48 |
| 18 | Chambersburg Hospital Chambersburg, PA fee schedule · outpatient | 7 | $478 | $320 | $178 | 56% | — | $107 – $478 |
| 19 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 2 | $39 | $39 | — | — | — | $39 – $39 |
| 20 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $88 | $242 | $266 | 110% | — | $3 – $601 |
| 21 | Children's Hospital of Philadelphia, The Philadelphia, PA fee schedule · both | 1 | $107 | $175 | $158 | 91% | — | $21 – $430 |
| 22 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.6k | $1.5k | 93% | — | $63 – $4.0k |
| 23 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $29 | $32 | $11 | 35% | — | $21 – $48 |
| 24 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $147 | $147 | — | — | — | $147 – $147 |
| 25 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
← Payers reporting HCPCS J0289 · Snapshot 20261111T120946Z-9134e7f7