HCPCS J0289
Injection, amphotericin b liposome, 10 mg
Current code45 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $31.22 – $44.56 | $78.05 – $111 |
| Cascade Valley Hospital | — | $2,817 | $3,522 |
| Deaconess Medical Center | — | — | — |
| EvergreenHealth Medical Center | — | $1,566 | $1,957 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $495 – $3,350 | $1,620 – $10,972 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | $381 – $607 | $544 – $867 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $48.08 – $64.28 | $120 – $161 |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | $446 | $557 |
| Overlake Hospital Medical Center & Clinics | — | $64.98 – $215 | $130 – $431 |
| PeaceHealth Peace Island Medical Center | — | $268 – $298 | $413 – $458 |
| PeaceHealth Southwest Medical Cente | — | $268 – $298 | $413 – $458 |
| PeaceHealth St John Medical Center | — | $268 – $298 | $413 – $458 |
| PeaceHealth St Joseph Medical Center | — | $268 – $298 | $413 – $458 |
| PeaceHealth United General Medical Center | — | $268 – $298 | $413 – $458 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $883 | $1,262 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $883 | $1,262 |
| Providence Mount Carmel Hospital | — | $883 | $1,262 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $717 – $727 | $1,024 – $1,038 |
| Providence St Peter Hospital | — | $347 – $778 | $667 – $1,495 |
| Seattle Children's Hospital | $534 | $2,119 | $2,119 |
| Skagit Valley Hospital | — | $2,817 | $3,522 |
| St Anthony Hospital | — | $493 – $3,337 | $1,620 – $10,972 |
| St Clare Hospital | — | $467 – $3,163 | $1,620 – $10,972 |
| St Elizabeth Hospital | — | $572 – $3,877 | $1,620 – $10,972 |
| St Francis Community Hospital | — | $508 – $3,443 | $1,620 – $10,972 |
| St Joseph Medical Center | — | $537 – $3,634 | $1,620 – $10,972 |
| St Michael Medical Center | — | $715 – $4,842 | $1,620 – $10,972 |
| Swedish Edmonds Hospital | — | $268 – $271 | $557 – $565 |
| Swedish Issaquah | — | $271 | $565 |
| Swedish Medical Center | — | $268 – $271 | $557 – $565 |
| Swedish Medical Center / Cherry Hill | — | $271 | $565 |
| Tacoma General Allenmore Hospital | — | $31.22 – $75.06 | $78.05 – $188 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $41.72 – $74.31 | $81.80 – $146 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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