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 CALCIUM 10 MG/ML INJECTION SOLUTION
Rocky Mount, NC
See all hospitals reporting HCPCS J0640 →Price type
Nash Hospitals’s median price of $126 is 460% above the median hospital's median price ($22), higher than 90% of the 1,994 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: 7 payers, 13 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 | Cigna commercial facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $67 | $80 | $28 | 35% | — | $54 – $128 |
| 3 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $67 | $80 | $28 | 35% | — | $54 – $129 |
| 4 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $67 | $80 | $28 | 35% | — | $54 – $129 |
| 5 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $67 | $80 | $28 | 35% | — | $54 – $129 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $154 | $184 | $64 | 35% | — | $124 – $295 |
| 7 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $162 | $194 | $67 | 35% | — | $130 – $311 |
| 8 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $226 | $270 | $94 | 35% | — | $182 – $433 |
| 9 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $241 | $288 | $100 | 35% | — | $194 – $462 |
| 10 | Medcost administrator id: 580 facility · percent of total billed charges · inpatientfrom % of charges | $270 | $323 | $112 | 35% | — | $217 – $518 |
| 11 | Medcost administrator id: 580 facility · percent of total billed charges · outpatientfrom % of charges | $292 | $350 | $122 | 35% | — | $235 – $561 |
| 12 | Medcost all other business/commercial facility · percent of total billed charges · inpatientfrom % of charges | $296 | $354 | $123 | 35% | — | $238 – $568 |
| 13 | Medcost all other business/commercial facility · percent of total billed charges · outpatientfrom % of charges | $303 | $363 | $126 | 35% | — | $244 – $582 |
Last updated: Jun 18, 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.