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  4. /NDC 25021-0816-30

NDC 25021-0816-30

INJECTION, LEUCOVORIN CALCIUM, PER 50 MG at Mid Columbia Medical Center

Dalles, OR

Pricing by billing methodology

Price type

All methodologies

$398

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$477

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$380

Reflects a negotiated percentage of total billed charges.

Other

$901

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: May 13, 2026

Compare to other hospitals

See INJECTION, LEUCOVORIN CALCIUM, PER 50 MG pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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