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 Calcium 500 Mg/50Ml
Mitchell, SD
See all hospitals reporting HCPCS J0640 →Price type
Avera Queen of Peace’s median price of $28 is 26% above the median hospital's median price ($23), higher than 55% 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: 4 payers, 9 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 | Medica com fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Medica ind fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Wellmark ppo fee schedule · outpatient | $4 | $4 | — | — | 37 | $4 – $4 |
| 4 | Wellmark hmo outpatient | $63 | $63 | — | — | 37 | $63 – $63 |
| 5 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $110 | $110 | $87 | 79% | — | $23 – $197 |
| 6 | Medica ind percent of total billed charges · inpatientfrom % of charges | $127 | $127 | $101 | 79% | — | $26 – $228 |
| 7 | Medica com percent of total billed charges · inpatientfrom % of charges | $149 | $149 | $118 | 79% | — | $31 – $267 |
| 8 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $173 | $173 | $137 | 79% | — | $35 – $310 |
| 9 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $173 | $173 | $137 | 79% | — | $35 – $310 |
Last updated: Apr 1, 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.