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 10 mg/mL solution 50 mL Vial
Boulder, CO
See all hospitals reporting HCPCS J0640 →Price type
Boulder Community Health’s median price of $129 is 471% above the median hospital's median price ($23), higher than 90% 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: 9 payers, 26 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 | Anthem commercial professional · fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Anthem managed care professional · fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Cigna commercial professional · fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Humana medicare advantage professional · fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 6 | UnitedHealthcare commercial professional · fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Aetna medicare advantage professional · fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Aetna commercial professional · fee schedule · both | $6 | $6 | $2 | 31% | — | $4 – $8 |
| 9 | Cigna commercial facility · fee schedule · outpatient | $7 | $7 | $4 | 51% | — | $4 – $11 |
| 10 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $79 | $79 | $6 | 7% | — | $74 – $85 |
| 11 | Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 12 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 13 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 14 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $103 | $120 | $36 | 30% | — | $83 – $200 |
| 15 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 16 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $134 | $134 | — | — | — | $134 – $134 |
| 17 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $134 | $134 | — | — | — | $134 – $134 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $167 | $167 | $51 | 30% | — | $116 – $217 |
| 19 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $193 | $193 | — | — | — | $193 – $193 |
| 20 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $204 | $204 | $88 | 43% | — | $116 – $292 |
| 21 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 22 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 23 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $235 | $235 | — | — | — | $235 – $235 |
| 24 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $235 | $235 | — | — | — | $235 – $235 |
| 25 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
Last updated: Sep 16, 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.