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 50 MG INTRAVENOUS SUSPENSION
Utica, NY
See all hospitals reporting HCPCS J0289 →Price type
MVHS, Inc.’s median price of $220 is 310% above the median hospital's median price ($54), higher than 70% 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, 11 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 | Excellus excellus bcbs medicaid fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 3 | Cigna mvp and cigna commercial fee schedule · both | $145 | $145 | — | — | — | $145 – $145 |
| 4 | UnitedHealthcare uhc commercial fee schedule · both | $220 | $220 | — | — | — | $220 – $220 |
| 5 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $662 | $662 | $0 | 0% | — | $662 – $662 |
| 6 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $986 | $986 | $0 | 0% | — | $986 – $986 |
| 7 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | $0 | 0% | — | $1.1k – $1.1k |
| 8 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | $0 | 0% | — | $1.1k – $1.1k |
| 9 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | $0 | 0% | — | $1.1k – $1.1k |
| 10 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | $0 | 0% | — | $1.1k – $1.1k |
| 11 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $0 | 0% | — | $1.2k – $1.2k |
Last updated: Aug 7, 2026
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