Leucovorin calcium injection, per 50 mg at Benefis Hospitals Inc

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 100 MG/10ML IJ SOLN|DISCARDED DRUG NOT ADMINISTERED

Falls, MT

See all hospitals reporting HCPCS J0640 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Benefis Hospitals Inc’s median price of $114 is 405% above the median hospital's median price ($23), higher than 88% of the 2,015 hospitals reporting HCPCS J0640. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0640 at Benefis Hospitals Inc

Negotiated rates from the hospital’s own file: 8 payers, 20 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 bhs hb bcbs employee health plan fee schedule · outpatient	$7	$7	$5	62%	—	$3 – $17
2	Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient	$9	$10	$6	62%	—	$4 – $22
3	Cigna bhs hb allegiance fee schedule · outpatient	$25	$28	$17	62%	—	$12 – $62
4	Healthpartners bhs hb allegiance fee schedule · outpatient	$25	$28	$17	62%	—	$12 – $62
5	Kaiser bhs hb allegiance fee schedule · outpatient	$25	$28	$17	62%	—	$12 – $62
6	Medical Mutual bhs hb allegiance fee schedule · outpatient	$25	$28	$17	62%	—	$12 – $62
7	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$138	$138	$83	60%	—	$65 – $350
8	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges	$159	$159	$95	60%	—	$75 – $404
9	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$170	$170	$102	60%	—	$80 – $431
10	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$173	$173	$104	60%	—	$81 – $439
11	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$180	$181	$108	60%	—	$85 – $458
12	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges	$180	$181	$108	60%	—	$85 – $458
13	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges	$182	$183	$109	60%	—	$86 – $463
14	Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$191	$191	$115	60%	—	$90 – $485
15	Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$191	$191	$115	60%	—	$90 – $485
16	Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$191	$191	$115	60%	—	$90 – $485
17	Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$191	$191	$115	60%	—	$90 – $485
18	Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges	$195	$196	$117	60%	2–20	$92 – $496
19	First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges	$195	$196	$117	60%	—	$92 – $496
20	UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges	$201	$202	$121	60%	—	$95 – $512

Last updated: Mar 26, 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.