Hospital Bill Data

J0289

HCPCS

Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code J0289 (Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)) appears at 41 hospitals with disclosed cash prices from $45.24 to $971. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

40
hospitals publish a price
1
list this service without a published price
51
Cash
51
List
47
Negotiated
0
Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J0289 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Published cash prices for code J0289 vary by about 21× across the 40 hospitals with disclosed prices here — from $45.24 to $971. Shopping around can matter.

40
Hospitals
55
Prices shown
$45.24
Lowest cash
$971
Highest cash
code J0289 cash price51 disclosed · 40 hospitals
$45.24median ~$668$971

Cash price by city

Reflects your current filters.

Cash price by city$45.24$601
  • Libertyville · 1 hospital$45.24
  • Oak Lawn · 1 hospital$45.75–$46.90
  • Park Ridge · 1 hospital$45.99–$48.33
  • Hazel Crest · 1 hospital$50.64
  • Kenosha · 1 hospital$51.48–$51.71
  • Kannapolis · 1 hospital$65.43–$601

55 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)
Inpatient & outpatient
Endeavor Health Edward HospitalJ0289
HCPCS
$350$350
Amphotericin b liposome inj
Outpatient
Endeavor Health Edward HospitalJ0289
HCPCS
$22.81 – $66.88
AMPHOTERICIN B LIPOSOME 50 MG IV SUSR
Inpatient
Advocate Christ Medical CenterJ0289
HCPCS
$91.50$45.75$39.99 – $73.20
AMBISOME 50 MG IV SUSR
Inpatient
Advocate Christ Medical CenterJ0289
HCPCS
$93.79$46.90$40.99 – $75.03
Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)
Inpatient & outpatient
University of Chicago Medical CenterJ0289
HCPCS
Amphotericin B: 1 Vial, Single-Dose In 1 Carton (55150-365-01) / 12.5 Ml In 1 Vial, Single-Dose
Inpatient & outpatient
University of Chicago Medical CenterJ0289
HCPCS
Amphotericin b liposome inj
Outpatient
University of Chicago Medical CenterJ0289
HCPCS
AMPHOTERICIN B LIPOSOME 50 MG IV SUSR
Inpatient
Advocate Lutheran General HospitalJ0289
HCPCS
$91.98$45.99$40.20 – $73.58
AMBISOME 50 MG IV SUSR
Inpatient
Advocate Lutheran General HospitalJ0289
HCPCS
$96.65$48.33$42.24 – $77.32
AMPHOTERICIN B LIPOSOME 50 MG IV SUSR
Outpatient
Advocate Condell Medical CenterJ0289
HCPCS
$90.48$45.24$32.79 – $89.77
AMPHOTERICIN B LIPOSOME 50 MG IV SUSR
Outpatient
Advocate South Suburban HospitalJ0289
HCPCS
$101$50.64$32.79 – $146
amphotericin B liposome 4 mg/mL Solution 1 Each Vial
Outpatient
Froedtert Menomonee Falls HospitalJ0289
HCPCS
$1,766$971$21.48 – $1,589
amphotericin B liposome 50 MG Recon Susp 1 Each Vial
Outpatient
Froedtert Menomonee Falls HospitalJ0289
HCPCS
$1,766$971$21.48 – $1,589
AMBISOME 50 MG IV SUSR
Inpatient
Aurora Medical Center Bay AreaJ0289
HCPCS
$226$113$136 – $191
AMPHOTERICIN B LIPOSOME 50 MG IV SUSR
Inpatient
Aurora Medical Center Bay AreaJ0289
HCPCS
$226$113$136 – $191
AMPHOTERICIN B LIPOSOME 50 MG IV SUSR
Inpatient
Aurora Medical Center KenoshaJ0289
HCPCS
$103$51.48$61.77 – $87.51
AMBISOME 50 MG IV SUSR
Inpatient
Aurora Medical Center KenoshaJ0289
HCPCS
$103$51.71$62.05 – $87.91
amphotericin B liposome 50 MG Recon Susp 1 Each Vial
Inpatient
Froedtert West Bend HospitalJ0289
HCPCS
$1,766$971$883 – $1,677
amphotericin B liposome 4 mg/mL Solution 1 Each Vial
Inpatient
Froedtert West Bend HospitalJ0289
HCPCS
$1,766$971$883 – $1,677
AMPHOTERICIN B LIPOSOME 50 MG IV SUSR
Inpatient
Henderson HospitalJ0289
HCPCS
$970$291$281 – $940
AMPHOTERICIN B LIPOSOME 50 MG IV SUSR
Outpatient
The Women's HospitalJ0289
HCPCS
$725$427$9.14 – $616
AMPHOTERICIN B LIPOSOME 50 MG IV SUSR
Inpatient
Deaconess Illinois Medical CenterJ0289
HCPCS
$3,629$689$689 – $3,266
Inj Amphotericin B Liposome 10mg
Inpatient
Stanford Health CareJ0289
HCPCS
$504$202
Inj Amphotericin B Liposome 10mg
Outpatient
Stanford Health CareJ0289
HCPCS
$504$202
AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSR [18566]
Outpatient
Texas Health Presbyterian Hospital AllenJ0289
HCPCS
$1,113$668$21.48 – $1,047

How to read these prices

Cash price
The discounted self-pay price for paying directly, without insurance.
List price
The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate
A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount
A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J0289 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital Advocate Christ Medical Center University of Chicago Medical Center Advocate Lutheran General Hospital Advocate Condell Medical Center Advocate South Suburban Hospital Froedtert Menomonee Falls Hospital Aurora Medical Center Bay Area Aurora Medical Center Kenosha Froedtert West Bend Hospital Henderson Hospital The Women's Hospital Deaconess Illinois Medical Center Stanford Health Care Texas Health Presbyterian Hospital Allen Texas Health Harris Methodist Hospital Alliance Healdsburg Hospital Providence Little Co of Mary Med Center San Pedro Texas Health Arlington Memorial Hospital Texas Health Harris Methodist Hospital Azle Texas Health Center for Diagnostics and Surgery Plano Texas Health Harris Methodist Hospital Cleburne Texas Health Presbyterian Hospital Dallas Texas Health Presbyterian Hospital Denton Texas Health Presbyterian Hospital Flower Mound Texas Health Harris Methodist Hospital Fort Worth Texas Health Hospital Frisco Texas Health Heart & Vascular Hospital Arlington Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Texas Health Presbyterian Hospital Kaufman Texas Health Presbyterian Hospital Plano Texas Health Hospital Rockwall Texas Health Harris Methodist Hospital Southlake Texas Health Harris Methodist Hospital Southwest Fort Worth Texas Health Specialty Hospital Fort Worth Texas Health Springwood Hospital Hurst-Euless-Bedford Texas Health Harris Methodist Hospital Stephenville Atrium Health Cabarrus Atrium Health Cleveland Atrium Health Pineville Atrium Health Stanly

Code J0289: frequently asked

What does code J0289 cost?
Across the published hospital price files, the disclosed cash price for J0289 ranges from $45.24 to $971. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?
Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J0289?
J0289 is the billing code hospitals use to identify "Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?
Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not
It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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