NDC 70436-0117-80
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 CA 100MG SDV
Low
$5
Average
$33
Median
$10
High
$180
Filter by billing methodology
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. 44 hospitals; the 90th percentile is 28.3× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dignity Health Redding, CA | $57 | $47 | $32 | 68% | 93 | $7 – $85 |
| 2 | Dignity Community Care Woodland, CA | $32 | $33 | $24 | 72% | 28–64 | $7 – $77 |
| 3 | Dignity Health Carmichael, CA | $10 | $24 | $21 | 88% | 28–73 | $4 – $64 |
| 4 | Dignity Health Sacramento, CA | $11 | $27 | $24 | 91% | 1–10 | $3 – $77 |
| 5 | Dignity Community Care Sacramento, CA | $10 | $27 | $25 | 93% | — | $3 – $77 |
| 6 | Dignity Health Red Bluff, CA | $81 | $80 | $28 | 35% | — | $8 – $109 |
| 7 | Mercy Health Saint Marys Grand Rapids, MI | $17 | $17 | $3 | 16% | — | $7 – $74 |
| 8 | University of Arkansas for Medical Sciences Little Rock, AR | $7 | $8 | $0 | 3% | — | $7 – $887 |
| 9 | Indiana University Health West Hospital Inc. Avon, IN | $10 | $10 | $2 | 16% | — | $7 – $22 |
| 10 | Indiana University Health North Hospital Inc. Carmel, IN | $10 | $10 | $2 | 16% | — | $7 – $22 |
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