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 CA 200MG SDV
Reported by 118 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$14
Median
$7
High
$400
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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. 118 hospitals; the 90th percentile is 6.4× 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 | Dignity Health Redding, CA | $74 | $66 | $51 | 77% | 93 | $7 – $127 |
| 2 | Dignity Community Care Woodland, CA | $42 | $47 | $38 | 82% | 28–64 | $7 – $116 |
| 3 | Dignity Health Carmichael, CA | $13 | $31 | $32 | 104% | 28–73 | $4 – $96 |
| 4 | Dignity Health Sacramento, CA | $11 | $36 | $37 | 103% | 1–10 | $3 – $110 |
| 5 | Trinity Medical Center Rock Island, IL | $4 | $4 | — | — | — | $0 – $11 |
| 6 | Trinity Medical Center Bettendorf, IA | $4 | $4 | — | — | — | $0 – $5 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA | $4 | $4 | — | — | — | $1 – $15 |
| 8 | Gundersen Luthern Medical Center Inc La Crosse, WI | $4 | $10 | $14 | 138% | — | $4 – $44 |
| 9 | Sanford Fargo Medical Center Fargo, ND | $1 | $1 | — | — | — | $1 – $94 |
| 10 | Sanford Worthington Medical Center Worthington, MN | $1 | $1 | — | — | — | $1 – $95 |
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