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
Monroe, LA
See all hospitals reporting HCPCS J0289 →Price type
Brfhh Monroe, Llc’s median price of $102 is 89% above the median hospital's median price ($54), higher than 60% of the 2,001 hospitals reporting HCPCS J0289. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 17 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 | Aetna all payor fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Humana all payor fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Optum all payor fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 4 | UnitedHealthcare all payor fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Bcbs La all payor fee schedule · outpatient | $26 | $25 | $1 | 5% | — | $23 – $26 |
| 6 | Humana all payor other · outpatient | $84 | $92 | $71 | 77% | — | $22 – $178 |
| 7 | Aetna Better Health all payor other · outpatient | $162 | $162 | $16 | 10% | — | $147 – $178 |
| 8 | Amerihealth Caritas all payor other · outpatient | $162 | $162 | $16 | 10% | — | $147 – $178 |
| 9 | UnitedHealthcare all payor other · outpatient | $162 | $162 | $16 | 10% | — | $147 – $178 |
| 10 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $322 | $325 | $44 | 13% | — | $266 – $389 |
| 11 | Cigna all payor other · outpatient | $434 | $434 | $42 | 10% | — | $393 – $476 |
| 12 | Cigna all payor other · inpatient | $507 | $507 | $49 | 10% | — | $459 – $556 |
| 13 | Aetna all payor other · inpatient | $660 | $660 | $64 | 10% | — | $596 – $723 |
| 14 | First Health all payor other · inpatient | $660 | $660 | $64 | 10% | — | $596 – $723 |
| 15 | Aetna all payor other · outpatient | $699 | $699 | $67 | 10% | — | $632 – $767 |
| 16 | First Health all payor other · outpatient | $699 | $699 | $67 | 10% | — | $632 – $767 |
| 17 | MultiPlan all payor other · outpatient | $710 | $710 | $68 | 10% | — | $642 – $779 |
Last updated: Apr 1, 2026
See Amphotericin B liposome injection, 50 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.