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/12.5ML IV (WET SUSR VIAL)|DISCARDED DRUG NOT ADMINISTE
Augusta, GA
See all hospitals reporting HCPCS J0289 →Price type
Piedmont Augusta’s median price of $630 is 1076% above the median hospital's median price ($54), higher than 90% of the 2,006 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: 10 payers, 14 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 blue cross hmo fee schedule · both | $117 | $117 | $11 | 9% | — | $106 – $128 |
| 2 | Blue Cross Blue Shield blue cross ppo fee schedule · both | $117 | $117 | $11 | 9% | — | $106 – $128 |
| 3 | Anthem anthem pathway fee schedule · both | $138 | $138 | $13 | 9% | — | $125 – $150 |
| 4 | UnitedHealthcare united healthcare fee schedule · both | $222 | $222 | $20 | 9% | — | $202 – $242 |
| 5 | UnitedHealthcare united healthcare exchange fee schedule · both | $222 | $222 | $20 | 9% | — | $202 – $242 |
| 6 | Blue Cross Blue Shield bcbs south carolina shp fee schedule · both | $241 | $241 | $22 | 9% | — | $219 – $263 |
| 7 | Cigna cigna fee schedule · both | $306 | $306 | $28 | 9% | — | $279 – $334 |
| 8 | Bcbs Sc bcbs south carolina exchange percent of total billed charges · bothfrom % of charges | $342 | $342 | $31 | 9% | — | $311 – $374 |
| 9 | Blue Cross Blue Shield blue cross south carolina percent of total billed charges · bothfrom % of charges | $662 | $662 | $60 | 9% | — | $601 – $722 |
| 10 | Medcost medcost percent of total billed charges · bothfrom % of charges | $842 | $842 | $77 | 9% | — | $765 – $919 |
| 11 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $930 | $930 | $85 | 9% | — | $845 – $1.0k |
| 12 | Phcs phcs percent of total billed charges · bothfrom % of charges | $930 | $930 | $85 | 9% | — | $845 – $1.0k |
| 13 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | $142 | 9% | — | $1.4k – $1.7k |
| 14 | First Health first health percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | $163 | 9% | — | $1.6k – $2.0k |
Last updated: Jul 1, 2026
See Amphotericin B liposome injection, 50 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.