Amphotericin B liposome injection, 50 mg at Medical City Plano

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

Original text from hospital filings

AMPHOT B LIPOSOME 50 MG

Plano, TX

See all hospitals reporting HCPCS J0289 →

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How this price compares nationally

Medical City Plano’s median price of $153 is 185% above the median hospital's median price ($54), higher than 65% of the 2,015 hospitals reporting HCPCS J0289. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0289 at Medical City Plano

Negotiated rates from the hospital’s own file: 7 payers, 37 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	Humana tricare fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
2	UnitedHealthcare allpayerappendix fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
3	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
4	UnitedHealthcare smallgroup fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
5	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$129	$129	$126	98%	—	$3 – $255
6	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$129	$129	$126	98%	—	$3 – $255
7	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$129	$129	$126	98%	—	$3 – $255
8	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$129	$129	$126	98%	—	$3 – $255
9	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$129	$129	$126	98%	—	$3 – $255
10	Cigna localplus fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
11	Cigna newbusiness fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
12	Cigna hmo fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
13	Cigna networkbenefit fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
14	Cigna openaccessplus fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
15	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
16	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
17	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
18	Cigna allother fee schedule · outpatient	$193	$193	—	—	—	$193 – $193
19	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$249	$249	$243	98%	—	$6 – $492
20	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$250	$250	—	—	—	$250 – $250
21	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$250	$250	—	—	—	$250 – $250
22	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$258	$258	$253	98%	—	$6 – $511
23	Blue Cross Blue Shield eposoa fee schedule · outpatient	$262	$262	—	—	—	$262 – $262
24	Blue Cross Blue Shield ppo fee schedule · outpatient	$274	$274	—	—	—	$274 – $274
25	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$301	$301	$294	98%	—	$7 – $595

Page 1 of 2 · 37 rates

Last updated: Mar 1, 2026

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