Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr cost in Pennsylvania
AMPHOTERICIN B LIPOSOMAL IN D5W IV SYRINGE 1 MG/ML (NEO/PED) - CNR · HCPCS J0289
$165.60
lowest in Pennsylvania
$592.80
state median
$2,961.60
highest in Pennsylvania
$519.03
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Bedford | Everett | $165.60 | $7.75 – $186.30 | 19 |
| UPMC Community Osteopathic | Harrisburg | $185.40 | $1.20 – $26.42 | 15 |
| UPMC Hanover | Hanover | $185.40 | $21.27 – $34.37 | 11 |
| UPMC Lititz | Lititz | $185.40 | $21.27 – $34.37 | 9 |
| UPMC Memorial | York | $185.40 | $21.48 – $54.24 | 11 |
| UPMC Somerset | Somerset | $185.40 | $21.27 – $21.48 | 6 |
| UPMC Carlisle | Carlisle | $185.40 | $0.82 – $34.37 | 17 |
| UPMC Altoona | Altoona | $223.80 | $13.56 – $66.55 | 12 |
| UPMC Northwest | Seneca | $235.20 | $13.56 – $23.20 | 9 |
| UPMC Horizon-Greenville | Greenville | $376.00 | $13.56 – $40.31 | 11 |
| UPMC Jameson | New Castle | $409.20 | $13.56 – $67.72 | 11 |
| UPMC Passavant-McCandless | Pittsburgh | $592.80 | $13.56 – $67.18 | 9 |
| UPMC Western Psychiatric | Pittsburgh | $592.80 | $21.48 – $65.83 | 4 |
| UPMC Mercy | Pittsburgh | $621.00 | $13.56 – $66.55 | 8 |
| WellSpan Chambersburg Hospital | Chambersburg | $838.80 | $23.31 – $477.84 | 26 |
| UPMC Muncy | Muncy | $1,050.00 | $21.48 – $23.63 | 6 |
| UPMC Wellsboro | Wellsboro | $1,050.00 | $21.48 – $23.63 | 6 |
| UPMC Williamsport | Williamsport | $1,050.00 | $21.48 – $22.98 | 9 |
| UPMC Hamot | Erie | $1,348.20 | $13.56 – $58.08 | 13 |
| UPMC East | Monroeville | $1,407.00 | $13.56 – $376.00 | 14 |
| UPMC St. Margaret | Pittsburgh | $1,498.80 | $13.56 – $67.18 | 7 |
| WellSpan Ephrata Community Hospital | Ephrata | $1,862.00 | $25.33 – $407.93 | 24 |
| UPMC Magee | Pittsburgh | $2,256.60 | $13.56 – $67.18 | 9 |
| WellSpan Good Samaritan Hospital | Lebanon | $2,274.20 | $23.31 – $407.93 | 25 |
| UPMC McKeesport | Mckeesport | $2,418.00 | $13.56 – $67.18 | 8 |
| UPMC Presbyterian | Pittsburgh | $2,961.60 | $13.56 – $67.18 | 10 |