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 Sol
Astoria, OR
See all hospitals reporting HCPCS J0640 →Price type
Columbia Lutheran Charities’s median price of $203 is 798% above the median hospital's median price ($23), higher than 95% 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, 14 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 | Molina molina ma - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $120 | $143 | $76 | 53% | — | $45 – $273 |
| 2 | Regence medicare facility · percent of total billed charges · bothfrom % of charges | $120 | $143 | $76 | 53% | — | $45 – $273 |
| 3 | Tricare military facility · percent of total billed charges · bothfrom % of charges | $120 | $143 | $76 | 53% | — | $45 – $273 |
| 4 | UnitedHealthcare medicare facility · percent of total billed charges · bothfrom % of charges | $120 | $143 | $76 | 53% | 28–280 | $45 – $273 |
| 5 | Aetna aetna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $124 | $147 | $78 | 53% | — | $47 – $281 |
| 6 | Cigna cigna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $126 | $150 | $80 | 53% | — | $48 – $287 |
| 7 | Molina medicaid facility · percent of total billed charges · bothfrom % of charges | $150 | $178 | $95 | 53% | 24 | $57 – $340 |
| 8 | Regence commercial facility · percent of total billed charges · bothfrom % of charges | $297 | $354 | $188 | 53% | 17 | $112 – $675 |
| 9 | First Health first health/coventry - commercial facility · percent of total billed charges · bothfrom % of charges | $300 | $358 | $190 | 53% | — | $113 – $682 |
| 10 | Premera bc premera lifewise - commercial facility · percent of total billed charges · bothfrom % of charges | $317 | $378 | $200 | 53% | — | $120 – $720 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · bothfrom % of charges | $317 | $378 | $200 | 53% | 14–140 | $120 – $720 |
| 12 | Aetna commercial facility · percent of total billed charges · bothfrom % of charges | $321 | $382 | $202 | 53% | 7–70 | $121 – $728 |
| 13 | Cigna commercial facility · percent of total billed charges · bothfrom % of charges | $321 | $382 | $202 | 53% | — | $121 – $728 |
| 14 | MultiPlan multiplan - commercial facility · percent of total billed charges · bothfrom % of charges | $321 | $382 | $202 | 53% | — | $121 – $728 |
Last updated: Jan 5, 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.