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NDC 25021-0816-30

LEUCOVORIN CALCIUM 350 MG INJ SOLR

Reported by 86 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Based on 359–557 billing samples across every hospital reporting.

Low

$5

Average

$220

Median

$140

High

$1.1k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Dignity HealthRedding, CA$174$176$16293$7$370
2Dignity HealthPhoenix, AZ$141$118$10272$4$265
3St. Luke's Community Health ServicesSpring, TX$28$28$1455$3$59
4St. Luke's Community Health ServicesThe Woodlands, TX$28$28$1455$3$59
5Dignity HealthCarmichael, CA$15$71$10028–73$4$279
6Dignity Community CareWoodland, CA$42$122$12128–64$7$336
7Chi St. Luke's Health Baylor College Of Medicine Medical CenterHouston, TX$29$28$135–50$2$59
8Sierra Nevada Memorial-miners HospitalGrass Valley, CA$55$136$13217–35$4$314
9Winneshiek Medical CenterDecorah, IA$193$187$233–30$122$204
10Dignity HealthSacramento, CA$11$80$1061–10$3$269
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Look up this code directly

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