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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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$31.22 – $44.56$78.05 – $111
Cascade Valley HospitalArlington$25.90 – $3,5424 plans$2,817$3,522
EvergreenHealth Medical CenterKirkland—$1,566$1,957
Highline Medical CenterBurienFile dated 2026-02-28—$495 – $3,350$1,620 – $10,972
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$381 – $607$544 – $867
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$48.08 – $64.28$120 – $161
Olympic Medical CenterPort AngelesFile dated 2026-06-24$773 – $8465 plans$446$557
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$64.98 – $215$130 – $431
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$883$1,262
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$883$1,262
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$883$1,262
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$717 – $727$1,024 – $1,038
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$347 – $778$667 – $1,495
Seattle Children's HospitalSeattle$545 – $68912 plans$2,119$2,119
Skagit Valley HospitalMount Vernon—$2,817$3,522
St Anthony HospitalGig HarborFile dated 2026-02-28—$493 – $3,337$1,620 – $10,972
St Clare HospitalLakewoodFile dated 2026-02-28—$467 – $3,163$1,620 – $10,972
St Elizabeth HospitalEnumclawFile dated 2026-02-28$454 – $3,6395 plans$572 – $3,877$1,620 – $10,972
St Francis Community HospitalFederal WayFile dated 2026-02-28—$508 – $3,443$1,620 – $10,972
St Joseph Medical CenterTacomaFile dated 2026-02-28—$537 – $3,634$1,620 – $10,972
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$715 – $4,842$1,620 – $10,972
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$268 – $271$557 – $565
Swedish IssaquahIssaquahFile dated 2026-04-01—$271$565
Swedish Medical CenterSeattleFile dated 2026-04-01—$268 – $271$557 – $565
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$271$565
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$31.22 – $75.06$78.05 – $188
Virginia Mason Medical CenterSeattle—$41.72 – $74.31$81.80 – $146

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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