Leucovorin calcium injection, per 50 mg at Astera Health

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEUCOVORIN CALCIUM 500 MG/50 ML INJ (WET SOLR VIAL)

Wadena, MN

See all hospitals reporting HCPCS J0640 →

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How this price compares nationally

Astera Health’s median price of $151 is 574% above the median hospital's median price ($22), higher than 91% of the 1,998 hospitals reporting HCPCS J0640. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0640 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 34 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	Blue Cross Blue Shield bcbs federal employees [400004] fee schedule · outpatient	$59	$56	$27	48%	—	$17 – $85
2	Blue Cross Blue Shield bcbs high value network fee schedule · outpatient	$59	$56	$27	48%	—	$17 – $85
3	Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient	$59	$56	$27	48%	—	$17 – $85
4	Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges	$93	$88	$30	34%	—	$54 – $131
5	Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges	$102	$97	$33	34%	—	$59 – $144
6	Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges	$102	$97	$33	34%	—	$59 – $144
7	Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges	$108	$101	$35	34%	—	$62 – $151
8	Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges	$108	$101	$35	34%	—	$62 – $151
9	Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges	$110	$103	$36	34%	—	$63 – $154
10	Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges	$110	$103	$36	34%	—	$63 – $154
11	Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges	$142	$134	$46	34%	—	$82 – $200
12	Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges	$148	$139	$48	34%	—	$85 – $208
13	Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges	$178	$168	$58	34%	—	$103 – $250
14	UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges	$190	$179	$62	34%	—	$110 – $268
15	Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges	$190	$180	$62	34%	—	$110 – $268
16	Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges	$195	$184	$63	34%	—	$113 – $274
17	Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges	$195	$184	$63	34%	—	$113 – $274
18	Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges	$195	$184	$63	34%	—	$113 – $274
19	UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges	$198	$187	$64	34%	—	$114 – $279
20	Medica medica [100341] percent of total billed charges · outpatientfrom % of charges	$200	$188	$65	34%	—	$115 – $281
21	MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges	$205	$193	$67	34%	—	$118 – $288
22	MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges	$205	$193	$67	34%	—	$118 – $288
23	Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges	$218	$205	$71	34%	—	$126 – $306
24	Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges	$218	$205	$71	34%	—	$126 – $306
25	Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges	$231	$217	$75	34%	—	$133 – $324

Page 1 of 2 · 34 rates

Last updated: Feb 20, 2026

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