HCPCS J0289

Injection, amphotericin b liposome, 10 mg

Current code45 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J0289 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$19.47 – $14319 plans$31.22 – $44.56$78.05 – $111
Cascade Valley HospitalArlington$26.66 – $3,17011 plans$2,817$3,522
Deaconess Medical CenterSpokaneFile dated 2026-08-27$33.57 – $1209 plans——
EvergreenHealth Medical CenterKirkland$27.68 – $1,82025 plans$1,566$1,957
Harborview Medical CenterSeattleFile dated 2026-04-01$22.77 – $46.654 plans——
Highline Medical CenterBurienFile dated 2026-02-28$21.63 – $9,87517 plans$495 – $3,350$1,620 – $10,972
Island HospitalAnacortes$20.72 – $45.166 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$26.66 – $91.1211 plans$381 – $607$544 – $867
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$33.84 – $52.458 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$22.81 – $2,22020 plans$48.08 – $64.28$120 – $161
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$25.96 – $13117 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$25.96 – $13117 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$33.57 – $13112 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$32.45 – $11910 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$311 – $5576 plans$446$557
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$21.58 – $19615 plans$64.98 – $215$130 – $431
PeaceHealth Peace Island Medical CenterFriday Harbor—$268 – $298$413 – $458
PeaceHealth Southwest Medical CenteVancouver$8.29 – $67.236 plans$268 – $298$413 – $458
PeaceHealth St John Medical CenterLongview$8.29 – $36.054 plans$268 – $298$413 – $458
PeaceHealth St Joseph Medical CenterBellingham$20.72 – $35.872 plans$268 – $298$413 – $458
PeaceHealth United General Medical CenterSedro Woolley—$268 – $298$413 – $458
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$20.79 – $75.6614 plans$883$1,262
Providence Centralia HospitalCentraliaFile dated 2026-04-01$21.63 – $15013 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$26.66 – $70.2011 plans$883$1,262
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$883$1,262
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$22.66 – $62.4212 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$21.63 – $13410 plans$717 – $727$1,024 – $1,038
Providence St Peter HospitalOlympiaFile dated 2026-04-01$19.39 – $82.3514 plans$347 – $778$667 – $1,495
Seattle Children's HospitalSeattle$1,144 – $2,03498 plans$2,119$2,119
Skagit Valley HospitalMount Vernon$26.66 – $3,34610 plans$2,817$3,522
St Anthony HospitalGig HarborFile dated 2026-02-28$21.63 – $8,22918 plans$493 – $3,337$1,620 – $10,972
St Clare HospitalLakewoodFile dated 2026-02-28$21.63 – $8,22918 plans$467 – $3,163$1,620 – $10,972
St Elizabeth HospitalEnumclawFile dated 2026-02-28$21.63 – $9,87517 plans$572 – $3,877$1,620 – $10,972
St Francis Community HospitalFederal WayFile dated 2026-02-28$21.63 – $8,22918 plans$508 – $3,443$1,620 – $10,972
St Joseph Medical CenterTacomaFile dated 2026-02-28$21.63 – $8,22918 plans$537 – $3,634$1,620 – $10,972
St Michael Medical CenterSilverdaleFile dated 2026-02-28$21.63 – $9,87518 plans$715 – $4,842$1,620 – $10,972
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$25.96 – $60.8314 plans$268 – $271$557 – $565
Swedish IssaquahIssaquahFile dated 2026-04-01$21.63 – $77.0313 plans$271$565
Swedish Medical CenterSeattleFile dated 2026-04-01$21.63 – $81.4620 plans$268 – $271$557 – $565
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$21.63 – $81.4614 plans$271$565
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$22.81 – $13720 plans$31.22 – $75.06$78.05 – $188
University of Washington Medical CtrSeattleFile dated 2026-04-01$22.77 – $67.3713 plans——
Virginia Mason Medical CenterSeattle$21.48 – $11710 plans$41.72 – $74.31$81.80 – $146
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$57.551 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$35.76 – $98.2813 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$17.85 (APC 0736)
Surgery center payment (national)
$17.85