NDC 71288-0162-30
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 CALCIUM 200 MG IJ SOLR
Reported by 184 hospitals in the network.
Based on 361–505 billing samples across every hospital reporting.
Low
$3
Average
$267
Median
$52
High
$5.0k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 184 hospitals; the 90th percentile is 31.4× 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 | Santa Monica UCLA Medical Center and Orthopaedic Hospital Santa Monica, CA | $28 | $27 | $18 | 65% | 205 | $8 – $200 |
| 2 | Dignity Health Redding, CA | $74 | $66 | $51 | 77% | 93 | $7 – $127 |
| 3 | Dignity Community Care Woodland, CA | $42 | $47 | $38 | 82% | 28–64 | $7 – $116 |
| 4 | Dignity Health Carmichael, CA | $13 | $31 | $32 | 104% | 28–73 | $4 – $96 |
| 5 | High Point Regional Health High Point, NC | $90 | $97 | $51 | 53% | 4–40 | $31 – $206 |
| 6 | Sanford Fargo Medical Center Fargo, ND | $73 | $66 | $29 | 44% | 1–10 | $1 – $94 |
| 7 | Sanford Medical Center Bismarck Bismarck, ND | $54 | $53 | $14 | 27% | 1–10 | $23 – $67 |
| 8 | Dignity Health Sacramento, CA | $11 | $36 | $37 | 103% | 1–10 | $3 – $110 |
| 9 | Trinity Medical Center Rock Island, IL | $4 | $5 | $4 | 85% | — | $0 – $11 |
| 10 | Trinity Medical Center Bettendorf, IA | $4 | $3 | $2 | 64% | — | $0 – $5 |
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