Leucovorin calcium injection, per 50 mg at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEUCOVORIN CALCIUM 350 MG INJECTION SOLR [6183]

Arlington, TX

See all hospitals reporting HCPCS J0640 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $57 is 156% above the median hospital's median price ($22), higher than 73% of the 2,000 hospitals reporting HCPCS J0640. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0640 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 8 payers, 25 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.

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield hmo fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
2	Blue Cross Blue Shield exchange fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
3	Blue Cross Blue Shield ppo fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
4	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$8	$10	$3	32%	—	$8 – $15
5	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$8	$10	$3	32%	—	$8 – $15
6	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$9	$11	$4	32%	—	$8 – $16
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$9	$11	$4	32%	—	$8 – $16
8	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$9	$11	$4	32%	—	$8 – $16
9	Blue Cross Blue Shield traditional fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
10	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$32	$40	$13	32%	—	$30 – $58
11	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$39	$49	$16	32%	—	$37 – $71
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$42	$53	$17	32%	—	$40 – $77
13	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$47	$60	$19	32%	—	$45 – $87
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$50	$63	$20	32%	—	$47 – $92
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$50	$64	$21	32%	—	$48 – $93
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$52	$65	$21	32%	—	$49 – $95
17	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$63	$80	$26	32%	—	$60 – $117
18	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$64	$80	$26	32%	—	$60 – $117
19	Aetna asa percent of total billed charges · outpatientfrom % of charges	$64	$81	$26	32%	—	$61 – $118
20	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$64	$81	$26	32%	—	$61 – $118
21	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$68	$86	$28	32%	—	$64 – $125
22	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$79	$100	$33	32%	—	$75 – $146
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$79	$100	$33	32%	—	$75 – $146
24	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$86	$108	$35	32%	—	$81 – $158
25	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$86	$108	$35	32%	—	$81 – $158

Last updated: Apr 21, 2026

Compare to other hospitals

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.