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 10 mg/mL Solr 1 each VIAL
River Falls, WI
See all hospitals reporting HCPCS J0640 →Price type
Allina Health Systems’s median price of $49 is 116% above the median hospital's median price ($23), higher than 68% of the 2,015 hospitals reporting HCPCS J0640. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 18 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn bc pmap (r) facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Cigna hpi cigna (r) facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $19 | $23 | $12 | 52% | — | $12 – $63 |
| 7 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $26 | $31 | $16 | 52% | — | $17 – $85 |
| 8 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $42 | $51 | $26 | 52% | — | $27 – $140 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $42 | $51 | $26 | 52% | — | $27 – $140 |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $43 | $51 | $27 | 52% | — | $28 – $141 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $59 | $70 | $36 | 52% | — | $38 – $192 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $59 | $70 | $37 | 52% | — | $38 – $194 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $63 | $75 | $39 | 52% | — | $41 – $208 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $64 | $76 | $40 | 52% | — | $41 – $210 |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $80 | $96 | $50 | 52% | — | $52 – $264 |
| 16 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $80 | $96 | $50 | 52% | — | $52 – $264 |
| 17 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $81 | $96 | $50 | 52% | — | $52 – $266 |
| 18 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $82 | $97 | $51 | 52% | — | $52 – $268 |
Last updated: Jun 15, 2026
See Leucovorin calcium injection, per 50 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.