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
AMPHO B CS COMP 100MG INJ
Glendale, CA
See all hospitals reporting HCPCS J0288 →Price type
Dignity Community Care’s median price of $129 is 269% above the median hospital's median price ($35), higher than 88% of the 748 hospitals reporting HCPCS J0288. 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, 24 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 | Anthem medicaid|all plans fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 2 | Aetna commercial|all other plans fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Aetna commercial|hmo fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Aetna commercial|ppo fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 6 | Kaiser medicaid|< 21 fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 7 | Kaiser medicaid|> 21 fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 8 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 9 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 10 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 11 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 12 | Anthem commercial|mcs fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 13 | Anthem commercial|non-mcs fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 14 | Anthem medicaid|all plans fee schedule · inpatient | $621 | $621 | — | — | — | $621 – $621 |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Kaiser commercial|all plans fee schedule · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Kaiser commercial|all plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | First Health commercial|all plans fee schedule · inpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 22 | First Health commercial|all plans fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Feb 28, 2026
See Amphotericin B cholesteryl sulfate injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.