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
Ulm, MN
See all hospitals reporting HCPCS J0640 →Price type
Allina Health Systems’s median price of $60 is 166% above the median hospital's median price ($23), higher than 74% 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: 8 payers, 23 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 (n) facility · other · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Bcbs Mn bc premier(n) facility · other · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Cigna hpi cigna (n) facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $34 | $29 | $10 | 36% | — | $14 – $38 |
| 8 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $53 | $45 | $16 | 36% | — | $22 – $60 |
| 9 | Medicaid medicaid ma (n) facility · other · outpatient | $73 | $62 | $22 | 36% | — | $31 – $82 |
| 10 | Medica medica medicare (r) facility · fee schedule · outpatient | $74 | $63 | $23 | 36% | — | $31 – $84 |
| 11 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $75 | $64 | $23 | 36% | — | $32 – $85 |
| 12 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $78 | $66 | $24 | 36% | — | $33 – $87 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $102 | $87 | $31 | 36% | — | $43 – $115 |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $103 | $88 | $32 | 36% | — | $43 – $116 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $111 | $94 | $34 | 36% | — | $46 – $125 |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $112 | $95 | $34 | 36% | — | $47 – $126 |
| 17 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $117 | $99 | $36 | 36% | — | $49 – $132 |
| 18 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $134 | $113 | $41 | 36% | — | $56 – $150 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $140 | $119 | $43 | 36% | — | $59 – $158 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $140 | $119 | $43 | 36% | — | $59 – $158 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $140 | $119 | $43 | 36% | — | $59 – $158 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $141 | $120 | $43 | 36% | — | $59 – $159 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $143 | $121 | $44 | 36% | — | $60 – $161 |
Last updated: Jun 16, 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.