Amphotericin B liposome injection, 50 mg at AMH Cath Labs LLC

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 INTRAVENOUS SUSR [18566]

Arlington, TX

See all hospitals reporting HCPCS J0289 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $459 is 755% above the median hospital's median price ($54), higher than 84% 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 AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 33 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	Blue Cross Blue Shield medicare advantage case rate · outpatient	$21	$21	—	—	—	$21 – $21
2	Humana medicare advantage case rate · outpatient	$22	$22	—	—	—	$22 – $22
3	Humana medicare advantage ppo case rate · outpatient	$22	$22	—	—	—	$22 – $22
4	Molina medicare advantage case rate · outpatient	$23	$23	—	—	—	$23 – $23
5	WellCare medicare advantage hmo case rate · outpatient	$23	$23	—	—	—	$23 – $23
6	WellCare medicare advantage mmp case rate · outpatient	$24	$24	—	—	—	$24 – $24
7	UnitedHealthcare medicare advantage ppo case rate · outpatient	$24	$24	—	—	—	$24 – $24
8	UnitedHealthcare medicare advantage hmo case rate · outpatient	$24	$24	—	—	—	$24 – $24
9	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$99	$99	—	—	—	$99 – $99
10	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$99	$99	—	—	—	$99 – $99
11	Blue Cross Blue Shield hmo fee schedule · outpatient	$101	$101	—	—	—	$101 – $101
12	Blue Cross Blue Shield exchange fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
13	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
14	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
15	UnitedHealthcare all payer fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
16	UnitedHealthcare ppo fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
17	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
18	Blue Cross Blue Shield ppo fee schedule · outpatient	$113	$113	—	—	—	$113 – $113
19	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$385	$385	—	—	—	$385 – $385
20	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$457	$457	—	—	—	$457 – $457
21	Blue Cross Blue Shield traditional fee schedule · outpatient	$460	$460	—	—	—	$460 – $460
22	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$513	$513	—	—	—	$513 – $513
23	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$609	$609	—	—	—	$609 – $609
24	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$615	$615	—	—	—	$615 – $615
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$773	$773	—	—	—	$773 – $773

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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