NDC 00143-9368-01
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
LEUCOVORIN CALCIUM 200 MG IJ SOLR
Low
$4
Average
$63
Median
$10
High
$337
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 32 hospitals; the 90th percentile is 31.5× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Central Iowa Hospital Corporation Des Moines, IA | $4 | $4 | — | — | — | $4 – $173 |
| 2 | Central Iowa Hospital Corporation Des Moines, IA | $4 | $4 | — | — | — | $4 – $173 |
| 3 | Northwest Medical Foundation Of Tillamook Tillamook, OR | $164 | $164 | — | — | — | $77 – $164 |
| 4 | Sonora Community Hospital Sonora, CA | $388 | $280 | $203 | 72% | — | $8 – $542 |
| 5 | San Joaquin Community Hospital Bakersfield, CA | $386 | $337 | $311 | 92% | — | $10 – $1.0k |
| 6 | White Memorial Medical Center Angeles, CA | $106 | $106 | $72 | 68% | — | $10 – $371 |
| 7 | Gundersen Luthern Medical Center Inc La Crosse, WI | $4 | $10 | $14 | 138% | — | $4 – $44 |
| 8 | St Joseph Regional Health Network Reading, PA | $5 | $6 | $2 | 40% | — | $4 – $20 |
| 9 | Penn State Health Lancaster Medical Center Lancaster, PA | $6 | $6 | $3 | 43% | — | $4 – $14 |
| 10 | Children's National Hospital Washington, DC | $11 | $11 | $4 | 30% | — | $5 – $16 |
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