Amphotericin B liposome injection, 50 mg at St. David's Georgetown 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

AMPHOT B LIPOSOME 10 MG

Georgetown, TX

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How this price compares nationally

St. David's Georgetown Hospital’s median price of $248 is 363% above the median hospital's median price ($54), higher than 72% of the 2,006 hospitals reporting HCPCS J0289. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0289 at St. David's Georgetown Hospital

Negotiated rates from the hospital’s own file: 6 payers, 24 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	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
2	UnitedHealthcare allpayerappendix fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
3	UnitedHealthcare smallgroup fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
4	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$48	$48	$23	47%	—	$25 – $71
5	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$48	$48	$23	47%	—	$25 – $71
6	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$48	$48	$23	47%	—	$25 – $71
7	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$48	$48	$23	47%	—	$25 – $71
8	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
9	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
10	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
11	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
12	Blue Cross Blue Shield eposoa fee schedule · outpatient	$120	$120	—	—	—	$120 – $120
13	Blue Cross Blue Shield ppo fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
14	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$164	$164	$77	47%	—	$87 – $241
15	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$164	$164	$77	47%	—	$87 – $241
16	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$164	$164	$77	47%	—	$87 – $241
17	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$240	$240	$113	47%	—	$127 – $354
18	Humana hmo percent of total billed charges · outpatientfrom % of charges	$268	$268	$127	47%	—	$141 – $394
19	Humana ppo percent of total billed charges · outpatientfrom % of charges	$268	$268	$127	47%	—	$141 – $394
20	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$308	$308	$145	47%	—	$162 – $453
21	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$434	$434	$205	47%	—	$229 – $639
22	First Health ppo percent of total billed charges · outpatientfrom % of charges	$584	$625	$301	48%	—	$291 – $993
23	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$723	$723	$342	47%	—	$382 – $1.1k
24	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$820	$820	$387	47%	—	$433 – $1.2k

Last updated: Sep 1, 2026

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