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 per 10 mg
San Angelo, TX
See all hospitals reporting HCPCS J0289 →Price type
Shannon River Crest Hospital’s median price of $578 is 978% above the median hospital's median price ($54), higher than 88% 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, 17 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana medicare advantage facility · case rate · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Ambetter ppo facility · case rate · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 3 | Bcbs Tx hmo facility · fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 4 | Bcbs Tx bav facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 5 | Bcbs Tx ppo facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 6 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $847 | $847 | — | — | — | $847 – $847 |
| 7 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $847 | $847 | — | — | — | $847 – $847 |
| 8 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $924 | $924 | — | — | — | $924 – $924 |
| 9 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $963 | $963 | — | — | — | $963 – $963 |
| 10 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $963 | $963 | — | — | — | $963 – $963 |
| 11 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $963 | $963 | — | — | — | $963 – $963 |
| 12 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $963 | $963 | — | — | — | $963 – $963 |
| 13 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $963 | $963 | — | — | — | $963 – $963 |
| 14 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Dec 8, 2025
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.