Amphotericin B liposome injection, 50 mg at Allina Health Systems

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

amphotericin B LIPOsome 50 mg Susr 1 each VIAL

Rapids, MN

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Pricing by billing methodology

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How this price compares nationally

Allina Health Systems’s median price of $70 is 30% above the median hospital's median price ($54), higher than 56% of the 2,015 hospitals reporting HCPCS J0289. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0289 at Allina Health Systems

Negotiated rates from the hospital’s own file: 9 payers, 28 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.

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#
1	UnitedHealthcare united healthcare (um) facility · case rate · outpatient	$0	$0	—	—	—	$0 – $0
2	Medicaid medicaid ma (m) facility · fee schedule · outpatient	$19	$19	—	—	—	$19 – $19
3	Aetna allina aetna medicare (m) facility · fee schedule · outpatient	$20	$20	—	—	—	$20 – $20
4	Medicare medicare (m) facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
5	Medica medica medicare (m) facility · fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
6	Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
7	Bcbs Mn bc pmap (amu) facility · other · outpatient	$24	$24	—	—	—	$24 – $24
8	UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient	$24	$24	—	—	—	$24 – $24
9	Bcbs Mn bc premier (m u) facility · other · outpatient	$27	$27	—	—	—	$27 – $27
10	Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient	$32	$32	—	—	—	$32 – $32
11	Bcbs Mn bc state health plan (mu) facility · other · outpatient	$32	$32	—	—	—	$32 – $32
12	Bcbs Mn bc high value/performance network (mu) facility · other · outpatient	$34	$34	—	—	—	$34 – $34
13	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$72	$87	$31	36%	—	$63 – $148
14	Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges	$80	$96	$34	36%	—	$69 – $164
15	Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges	$127	$153	$55	36%	—	$110 – $260
16	Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges	$135	$162	$58	36%	—	$117 – $276
17	Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges	$159	$192	$69	36%	—	$138 – $327
18	Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges	$196	$237	$85	36%	—	$170 – $402
19	Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges	$211	$254	$91	36%	—	$182 – $432
20	Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges	$251	$303	$108	36%	—	$217 – $516
21	Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges	$257	$311	$111	36%	—	$223 – $528
22	Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges	$269	$324	$116	36%	—	$233 – $551
23	Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges	$269	$324	$116	36%	—	$233 – $551
24	Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges	$283	$341	$122	36%	—	$245 – $580
25	Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges	$287	$346	$124	36%	—	$249 – $589

Page 1 of 2 · 28 rates

Last updated: Jun 17, 2026

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