Amphotericin B cholesteryl sulfate injection at Dignity Community Care

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

AMPHO B CS COMP 100MG INJ

Northridge, CA

See all hospitals reporting HCPCS J0288 →

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Pricing by billing methodology

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How this price compares nationally

Dignity Community Care’s median price of $117 is 234% above the median hospital's median price ($35), higher than 87% of the 748 hospitals reporting HCPCS J0288. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0288 at Dignity Community Care

Negotiated rates from the hospital’s own file: 7 payers, 18 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\|< 21 fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
2	Anthem medicaid\|> 21 fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
3	Aetna commercial\|all other plans fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
4	Aetna commercial\|hmo fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
5	Aetna commercial\|ppo fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
6	Molina medicaid\|< 21 fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
7	Molina medicaid\|> 21 fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
8	Anthem commercial\|all other plans fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
9	Anthem commercial\|mcs fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
10	Anthem commercial\|vivity fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
11	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
12	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
13	Blue Cross Blue Shield medicaid\|all plans fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
14	Cigna commercial\|all other plans fee schedule · outpatient	$408	$408	—	—	—	$408 – $408
15	Cigna commercial\|ppo fee schedule · outpatient	$408	$408	—	—	—	$408 – $408
16	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$603	$603	—	—	—	$603 – $603
17	MultiPlan commercial\|all plans fee schedule · inpatient	$742	$742	—	—	—	$742 – $742
18	MultiPlan commercial\|all plans fee schedule · outpatient	$742	$742	—	—	—	$742 – $742

Last updated: Feb 28, 2026

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