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
Eureka, IL
See all hospitals reporting HCPCS J0289 →Price type
Carle Eureka Hospital’s median price of $167 is 212% above the median hospital's median price ($54), higher than 66% of the 2,006 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: 9 payers, 20 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 | WellCare medicare advantage hmo case rate · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $29 | $29 | — | — | — | $29 – $29 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $65 | $149 | $148 | 100% | — | $60 – $405 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $65 | $149 | $148 | 100% | — | $60 – $405 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $65 | $149 | $148 | 100% | — | $60 – $405 |
| 9 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $146 | $334 | $333 | 100% | — | $134 – $911 |
| 10 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $146 | $334 | $333 | 100% | — | $134 – $911 |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $146 | $334 | $333 | 100% | — | $134 – $911 |
| 12 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $146 | $334 | $333 | 100% | — | $134 – $911 |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $156 | $356 | $355 | 100% | — | $143 – $972 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $200 | $458 | $457 | 100% | — | $184 – $1.2k |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $201 | $460 | $459 | 100% | — | $185 – $1.3k |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $214 | $491 | $489 | 100% | — | $197 – $1.3k |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $214 | $491 | $489 | 100% | — | $197 – $1.3k |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $217 | $498 | $496 | 100% | — | $199 – $1.4k |
| 19 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $243 | $557 | $555 | 100% | — | $223 – $1.5k |
| 20 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $272 | $624 | $622 | 100% | — | $250 – $1.7k |
Last updated: Apr 15, 2026
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