Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Levoleucovorin 50MG IFC (FUSIL)Rnd 0.5mg
Low
$0
Average
$257
Median
$0
High
$4.2k
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 21788.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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136 hospital rates
iThe hospitals that file a Kaiser rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 3 | $1.2k | $1.1k | $659 | 61% | — | $196 – $2.0k |
| 2 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 3 | $1.2k | $1.1k | $647 | 61% | — | $195 – $2.0k |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.5k | $1.0k | 65% | — | $240 – $3.1k |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $1.7k | $1.0k | 60% | — | $341 – $2.8k |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $1.7k | $1.0k | 60% | — | $341 – $2.8k |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · inpatientfrom % of charges | 2 | $3.3k | $2.9k | $1.8k | 62% | — | $510 – $5.3k |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 3 | $922 | $2.1k | $1.8k | 87% | — | $113 – $5.3k |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · inpatientfrom % of charges | 3 | $1.2k | $1.1k | $659 | 61% | — | $196 – $2.0k |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 3 | $1.2k | $1.1k | $647 | 61% | — | $195 – $2.0k |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $1.7k | $1.0k | 60% | — | $341 – $2.8k |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $1.7k | $1.0k | 60% | — | $341 – $2.8k |
| 12 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 5 | $310 | $406 | $118 | 29% | — | $310 – $550 |
| 13 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Corona Regional Medical Center Corona, CA fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 17 | Corona Regional Medical Center Corona, CA percent of total billed charges · bothfrom % of charges | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 18 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · inpatient | 2 | $114 | $114 | $16 | 14% | — | $98 – $130 |
| 19 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 2 | $114 | $114 | $16 | 14% | — | $98 – $130 |
| 20 | DIGNITY HEALTH Santa Cruz, CA fee schedule · outpatient | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 21 | DIGNITY HEALTH Bakersfield, CA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · inpatientfrom % of charges | 6 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 6 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 25 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J0641 · Snapshot 20261111T120946Z-9134e7f7