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HANK Price Transparency. (n.d.).
Amphotericin b liposome inj (OTHER J0289) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/J0289/by-state?code_type=OTHER
“Amphotericin b liposome inj (OTHER J0289) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/J0289/by-state?code_type=OTHER. Accessed
June 28, 2026 .
“Amphotericin b liposome inj (OTHER J0289) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/J0289/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
J0289 — Amphotericin B Liposome Inj
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$26
National median
$23 – $54
IQR (p25 – p75)
179
hospitals filing
36
states
Walking in without insurance?
Cash / self-pay price
Cash median
$169
vs. negotiated
+554.5%
Hospitals reporting
59
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for J0289 (OTHER), with interquartile range
State Median p25 p75
WI $865 $420 $875
NE $407 $310 $449
TX $189 $189 $518
MS $147 $147 $147
IN $143 $54 $143
IL $138 $58 $449
DC $132 $58 $272
NV $92 $34 $1,224
VA $68 $28 $694
MT $54 $31 $78
FL $54 $26 $335
CA $38 $23 $52
CO $37 $26 $50
NY $28 $23 $76
NH $27 $23 $40
MO $26 $21 $26
PA $25 $23 $49
MN $25 $23 $27
TN $25 $23 $27
ID $25 $25 $25
UT $25 $22 $25
OK $24 $21 $59
SC $24 $23 $50
GA $24 $21 $35
NC $24 $21 $25
KY $23 $22 $29
AL $23 $23 $27
OR $23 $23 $34
HI $23 $23 $30
AZ $23 $23 $30
WA $23 $21 $74
AR $23 $22 $33
OH $22 $21 $75
WV $21 $21 $22
MI $21 $12 $23
IA $17 $14 $20