Leucovorin calcium injection, per 50 mg at John Muir 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.

Model: claude-haiku-5-5
Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEUCOVORIN CALCIUM 5 MG TABLET

Concord, CA

See all hospitals reporting HCPCS J0640 →

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How this price compares nationally

John Muir Health’s median price of $206 is 810% 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.

Payers reporting HCPCS J0640 at John Muir Health

Negotiated rates from the hospital’s own file: 8 payers, 33 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	UnitedHealthcare united healthcare select plus [104910411] fee schedule · both	$7	$9	$6	61%	—	$5 – $19
2	Blue Cross Blue Shield blue shield hmo-mmg trio [100602604] percent of total billed charges · bothfrom % of charges	$15	$13	$4	29%	—	$7 – $16
3	Blue Cross Blue Shield hpmg-blue shield hmo trio [100602606] percent of total billed charges · bothfrom % of charges	$15	$13	$4	29%	—	$7 – $16
4	Blue Cross Blue Shield blue shield ppo [100610402] fee schedule · both	$13	$18	$11	61%	—	$9 – $36
5	UnitedHealthcare mc ben bc hp345cp [24184] fee schedule · both	$16	$21	$13	61%	—	$10 – $42
6	UnitedHealthcare hpmg-united hmo [104910301] fee schedule · both	$19	$25	$15	61%	—	$12 – $50
7	UnitedHealthcare united healthcare hmo-mmg [104902601] fee schedule · both	$19	$25	$15	61%	—	$12 – $50
8	UnitedHealthcare united healthcare hmo-other medical group [104910303] fee schedule · both	$19	$25	$15	61%	—	$12 – $50
9	Aetna aetna epo [100110401] fee schedule · both	$19	$25	$15	61%	—	$13 – $50
10	Aetna aetna hmo-mmg [100102601] fee schedule · both	$19	$25	$15	61%	—	$13 – $50
11	Aetna aetna life [100100101] fee schedule · both	$19	$25	$15	61%	—	$13 – $50
12	Aetna hpmg-aetna hmo [100110301] fee schedule · both	$19	$25	$15	61%	—	$13 – $50
13	Cigna cigna hmo/pos-mmg [101002601] fee schedule · both	$24	$32	$20	61%	—	$16 – $64
14	Cigna cigna ppo/epo [101010401] fee schedule · both	$24	$32	$20	61%	—	$16 – $64
15	Cigna hpmg-cigna hmo/pos [101010302] fee schedule · both	$24	$32	$20	61%	—	$16 – $64
16	UnitedHealthcare united healthcare ppo [104910403] fee schedule · both	$27	$36	$22	61%	—	$18 – $71
17	UnitedHealthcare umr jmh employee [104910410] percent of total billed charges · bothfrom % of charges	$161	$141	$41	29%	—	$72 – $171
18	Blue Cross Blue Shield blue shield hmo-calpers-other medical group [100610305] percent of total billed charges · bothfrom % of charges	$260	$228	$65	29%	—	$115 – $276
19	Blue Cross Blue Shield blue shield hmo-mmg [100602601] percent of total billed charges · bothfrom % of charges	$266	$233	$67	29%	—	$118 – $282
20	Blue Cross Blue Shield blue shield hmo-mmg calpers [100602602] percent of total billed charges · bothfrom % of charges	$266	$233	$67	29%	—	$118 – $282
21	Blue Cross Blue Shield hpmg-blue shield hmo [100610301] percent of total billed charges · bothfrom % of charges	$266	$233	$67	29%	—	$118 – $282
22	Anthem anthem doctors medical center [100210407] percent of total billed charges · bothfrom % of charges	$272	$239	$68	29%	—	$121 – $289
23	Blue Cross Blue Shield blue shield covered california ifp on exchange [100610404] percent of total billed charges · bothfrom % of charges	$279	$244	$70	29%	—	$124 – $296
24	Kaiser kaiser [103310301] percent of total billed charges · bothfrom % of charges	$310	$272	$78	29%	—	$138 – $329
25	First Health coventry healthcare [101610401] percent of total billed charges · bothfrom % of charges	$335	$294	$84	29%	—	$149 – $356

Page 1 of 2 · 33 rates

Last updated: Mar 23, 2026

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