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NDC 50742046450

leucovorin calcium 10 mg/mL injection solution

Reported by 30 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

Low

$170

Average

$231

Median

$223

High

$536

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$4$212$216$344$69
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$4$203$170$344$95
3Baylor Scott & White Medical Center - TaylorTaylor, TX$4$204$183$306$80
4Baylor Scott & White Medical Center - HillcrestWaco, TX$4$210$205$325$64
5Baylor University Medical CenterDallas, TX$4$243$536$7.4k$1.4k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$4$238$215$325$78
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$4$222$223$344$68
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$4$210$212$325$63
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$4$238$219$325$74
10Baylor Scott & White Medical Center - PlanoPlano, TX$4$238$228$325$66
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