Amphotericin B liposome injection, 50 mg at Samaritan 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 INTRAVENOUS SUSPENSION

Troy, NY

See all hospitals reporting HCPCS J0289 →

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How this price compares nationally

Samaritan Hospital’s median price of $337 is 529% above the median hospital's median price ($54), higher than 78% 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 Samaritan Hospital

Negotiated rates from the hospital’s own file: 14 payers, 25 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	WellCare wellcare ep 1&2 medicaid facility · other · both	$33	$33	—	—	—	$33 – $33
2	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$49	$54	$20	37%	—	$33 – $82
3	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$222	$222	$56	25%	—	$167 – $278
4	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
5	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
6	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
7	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
8	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
9	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
10	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
11	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
12	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
13	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
14	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
15	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$342	$342	$156	46%	—	$186 – $498
16	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$418	$481	$268	56%	—	$186 – $905
17	First Health first health facility · percent of total billed charges · bothfrom % of charges	$497	$497	$227	46%	—	$270 – $724
18	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$528	$528	$241	46%	—	$287 – $769
19	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$559	$559	$255	46%	—	$304 – $814
20	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$559	$559	$255	46%	—	$304 – $814
21	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$559	$559	$255	46%	—	$304 – $814
22	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$621	$621	$284	46%	—	$337 – $905
23	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$621	$621	$284	46%	—	$337 – $905
24	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$621	$621	$284	46%	—	$337 – $905
25	Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$621	$621	$284	46%	—	$337 – $905

Last updated: Mar 31, 2026

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