NDC 62756-0233-01
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 IV SUSR [21900]
Low
$15
Average
$246
Median
$34
High
$5.5k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 227 hospitals; the 90th percentile is 10.5× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $27 | $32 | $9 | 29% | 154 | $24 – $3.2k |
| 2 | St Luke's Methodist Hospital Cedar Rapids, IA | $23 | $29 | $9 | 31% | — | $23 – $57 |
| 3 | Trinity Medical Center Rock Island, IL | $23 | $33 | $12 | 37% | — | $21 – $90 |
| 4 | Trinity Medical Center Bettendorf, IA | $23 | $28 | $7 | 25% | — | $23 – $56 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA | $23 | $28 | $7 | 26% | — | $21 – $46 |
| 6 | Central Iowa Hospital Corporation Des Moines, IA | $23 | $30 | $11 | 35% | — | $21 – $47 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA | $23 | $28 | $7 | 26% | — | $19 – $68 |
| 8 | Sanford Fargo Medical Center Fargo, ND | $24 | $25 | $2 | 8% | — | $20 – $627 |
| 9 | Dignity Community Care Sacramento, CA | $54 | $240 | $361 | 150% | — | $23 – $1.0k |
| 10 | St. Vincent Infirmary Medical Center Sherwood, AR | $936 | $797 | $231 | 29% | — | $225 – $936 |
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