Amphotericin B liposome injection, 50 mg at Methodist North Hospital

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

AMPHOTERICIN B LIPOSOME 50 MG/12.5ML IV (WET SUSR VIAL)

MEMPHIS, TN

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How this price compares nationally

Methodist North Hospital’s median price of $40 is 26% below the median hospital's median price ($54), higher than 39% 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 Methodist North Hospital

Negotiated rates from the hospital’s own file: 9 payers, 26 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	Blue Cross Blue Shield hb medicare advantage / managed care - tn contract other · both	$21	$21	—	—	—	$21 – $21
2	Humana hb medicare advantage / managed care - tn contract other · both	$21	$21	—	—	—	$21 – $21
3	Medicare hb medicare-tn contract other · both	$21	$21	—	—	—	$21 – $21
4	Optum hb medicare advantage / managed care - tn contract other · both	$21	$21	—	—	—	$21 – $21
5	UnitedHealthcare hb medicare advantage / managed care - tn contract other · both	$21	$21	—	—	—	$21 – $21
6	UnitedHealthcare hb va - tn contract other · both	$21	$21	—	—	—	$21 – $21
7	WellCare hb medicare advantage / managed care - tn contract other · both	$21	$21	—	—	—	$21 – $21
8	WellCare hb medicare advantage wellcare/wellpoint - tn contract other · both	$21	$21	—	—	—	$21 – $21
9	Devoted hb medicare advantage devoted - tn contract other · both	$22	$22	—	—	—	$22 – $22
10	Optum hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both	$40	$40	$15	39%	—	$16 – $79
11	UnitedHealthcare hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both	$40	$40	$15	39%	—	$16 – $79
12	Cigna hb cigna oap - germantown-north-south-olive branch-cancer inst-university fee schedule · both	$107	$107	$42	39%	—	$43 – $215
13	Blue Cross Blue Shield hb bluecare adult contract fee schedule · both	$123	$123	$48	39%	—	$49 – $247
14	Blue Cross Blue Shield hb medicaid tn - bcbs tenncare select - muh-mnh-msh-mgh-mhm fee schedule · both	$127	$127	$50	39%	—	$51 – $254
15	Blue Cross Blue Shield hb bcbs tn - muh, mnh, msh, mob, mgh fee schedule · both	$128	$128	$50	39%	—	$51 – $256
16	Molina hb molina hc of ms - mscan mlh-tn contract fee schedule · both	$133	$133	$52	39%	—	$53 – $267
17	UnitedHealthcare hb uhc ms can mlh-ms-ob contract fee schedule · both	$133	$133	$52	39%	—	$53 – $267
18	Molina hb molina mschips - mlh-tn contract fee schedule · both	$167	$167	$65	39%	—	$67 – $333
19	UnitedHealthcare hb uhc heritage select contract percent of total billed charges · bothfrom % of charges	$272	$426	$264	62%	—	$211 – $1.1k
20	UnitedHealthcare hb uhc fed ex core percent of total billed charges · bothfrom % of charges	$306	$480	$298	62%	—	$238 – $1.2k
21	UnitedHealthcare hb uhc fed ex nexus aco percent of total billed charges · bothfrom % of charges	$310	$486	$301	62%	—	$241 – $1.2k
22	UnitedHealthcare hb uhc core percent of total billed charges · bothfrom % of charges	$316	$495	$307	62%	—	$245 – $1.3k
23	UnitedHealthcare hb uhc nexus aco adult percent of total billed charges · bothfrom % of charges	$319	$500	$310	62%	—	$248 – $1.3k
24	UnitedHealthcare hb uhc fed ex all payer (choice) percent of total billed charges · bothfrom % of charges	$330	$516	$320	62%	—	$256 – $1.3k
25	UnitedHealthcare hb uhc all payer appendix - muh-mnh-msh-mgh-mci percent of total billed charges · bothfrom % of charges	$339	$532	$330	62%	—	$264 – $1.4k

Page 1 of 2 · 26 rates

Last updated: Mar 19, 2026

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