NDC 54449911
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.
Generation details were not recorded for this description.
Original text from hospital filings
leucovorin 25 mg Tab [CITY]
Low
$4
Average
$365
Median
$45
High
$1.3k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 27 hospitals; the 90th percentile is 152.7× 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 | Tri-City Medical Center Oceanside, CA | $49 | $63 | $28 | 45% | 460–478 | $21 – $109 |
| 2 | IOM Health System LP Fort Wayne, IN | $36 | $41 | $15 | 37% | — | $19 – $68 |
| 3 | Bluffton Health System LLC Bluffton, IN | $74 | $73 | $25 | 34% | — | $29 – $108 |
| 4 | Dukes Health System LLC Peru, IN | $93 | $100 | $30 | 30% | — | $31 – $168 |
| 5 | Warsaw Health System LLC Warsaw, IN | $127 | $127 | $43 | 34% | — | $45 – $203 |
| 6 | Dupont Hospital LLC Wayne, IN | $26 | $28 | $10 | 37% | — | $12 – $46 |
| 7 | Northwest Sahurita Hospital LLC Tucson, AZ | $5 | $8 | $5 | 63% | — | $4 – $33 |
| 8 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $5 | $8 | $5 | 63% | — | $4 – $33 |
| 9 | Northwest Hospital LLC Tucson, AZ | $10 | $13 | $9 | 68% | — | $5 – $33 |
| 10 | Triad of Alabama LLC Dothan, AL | $9 | $8 | $3 | 37% | — | $2 – $11 |
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