Levoleucovorin injection, 0.5 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

LEVOLEUCOVORIN CALCIUM 50 MG INTRAVENOUS SOLR [98597]

Arlington, TX

See all hospitals reporting HCPCS J0641 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $107 is 76157% above the median hospital's median price ($0), higher than 84% of the 1,255 hospitals reporting HCPCS J0641. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0641 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.

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1	UnitedHealthcare all payer fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare ppo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Blue Cross Blue Shield hmo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Blue Cross Blue Shield exchange fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
5	Blue Cross Blue Shield ppo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
6	Blue Cross Blue Shield traditional fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
7	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
8	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
9	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
10	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
11	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
12	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
13	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
14	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
16	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
17	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
18	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
19	Aetna asa percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
20	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
21	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
22	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$170	$170	—	—	—	$170 – $170
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$170	$170	—	—	—	$170 – $170
24	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$184	$184	—	—	—	$184 – $184
25	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$184	$184	—	—	—	$184 – $184

Last updated: Apr 21, 2026

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