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 146 hospitals in the network under the percent of billed charges methodology.
Low
$2
Average
$102
Median
$59
High
$1.1k
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. 146 hospitals; the 90th percentile is 9.7× 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 | Santa Monica UCLA Medical Center and Orthopaedic Hospital Santa Monica, CA | $28 | $28 | $18 | 64% | 205 | $8 – $200 |
| 2 | High Point Regional Health High Point, NC | $90 | $97 | $51 | 53% | 4–40 | $31 – $206 |
| 3 | Sanford Fargo Medical Center Fargo, ND | $73 | $71 | $23 | 33% | 1–10 | $1 – $94 |
| 4 | Sanford Medical Center Bismarck Bismarck, ND | $54 | $53 | $14 | 27% | 1–10 | $23 – $67 |
| 5 | Trinity Medical Center Rock Island, IL | $2 | $3 | $2 | 82% | — | $0 – $11 |
| 6 | Trinity Medical Center Bettendorf, IA | $2 | $2 | $2 | 83% | — | $0 – $5 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA | $7 | $7 | $4 | 60% | — | $1 – $15 |
| 8 | Northwestern Memorial Hospital Chicago, IL | $89 | $96 | $39 | 40% | — | $24 – $146 |
| 9 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL | $106 | $104 | $32 | 31% | — | $27 – $146 |
| 10 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital McHenry, IL | $42 | $47 | $20 | 41% | — | $17 – $89 |
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