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 INJ
Orange, TX
See all hospitals reporting HCPCS J0289 →Price type
CHRISTUS Hospital - Orange’s median price of $26 is 52% below the median hospital's median price ($54), higher than 22% of the 2,015 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: 7 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 | UnitedHealthcare all payer fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Aetna mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Bcbs Tx mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Humana gold choice mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 6 | Molina medicare adv mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 8 | WellCare mm fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Devoted mm fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 10 | Aetna new business fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 11 | Aetna epo fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 12 | Aetna hmo fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 13 | Aetna pos fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 14 | Aetna ppo fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 15 | Humana choicecare fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 16 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 17 | Bcbs Tx heb fee schedule · outpatient | $240 | $240 | — | — | — | $240 – $240 |
| 18 | Bcbs Tx hmo fee schedule · outpatient | $240 | $240 | — | — | — | $240 – $240 |
| 19 | Bcbs Tx ppo fee schedule · outpatient | $266 | $266 | — | — | — | $266 – $266 |
| 20 | Bcbs Tx traditional fee schedule · outpatient | $283 | $283 | — | — | — | $283 – $283 |
Last updated: Jan 13, 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.