NDC 54449625
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
00054-4496-25 - leucovorin 5 mg Tab
Low
$1
Average
$9
Median
$3
High
$38
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 15 hospitals; the 90th percentile is 13.3× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Bluffton Health System LLC Bluffton, IN | $13 | $13 | — | — | — | $12 – $46 |
| 2 | Dukes Health System LLC Peru, IN | $10 | $10 | $2 | 18% | — | $6 – $32 |
| 3 | St. Joseph Health System, LLC Wayne, IN | $21 | $21 | — | — | — | $5 – $21 |
| 4 | Northwest Sahurita Hospital LLC Tucson, AZ | $2 | $2 | $0 | 2% | — | $1 – $5 |
| 5 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $2 | $2 | $0 | 2% | — | $1 – $5 |
| 6 | Oro Valley Hospital LLC Tucson, AZ | $2 | $2 | $1 | 31% | — | $1 – $5 |
| 7 | Northwest Hospital LLC Tucson, AZ | $2 | $2 | $1 | 31% | — | $1 – $5 |
| 8 | Metro Knoxville HMA LLC Knoxville, TN | $1 | $1 | — | — | — | $1 – $2 |
| 9 | Metro Knoxville HMA LLC Powell, TN | $1 | $1 | — | — | — | $1 – $3 |
| 10 | Affinity Hospital LLC Birmingham, AL | $38 | $38 | $10 | 25% | — | $7 – $48 |
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