Leucovorin calcium injection, per 50 mg at Overlook Medical Center

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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Leucovorin calcium injection

Summit, NJ

See all hospitals reporting HCPCS J0640 →

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Pricing by billing methodology

Price type

How this price compares nationally

Overlook Medical Center’s median price of $20 is 12% below the median hospital's median price ($23), higher than 47% 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 Overlook Medical Center

Negotiated rates from the hospital’s own file: 18 payers, 45 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 oxford tertiary percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
2	Cigna omc cigna local plus fee schedule · both	$11	$14	$11	77%	—	$4 – $30
3	Anthem omc empire bcbsny hmo ppo percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
4	Aetna omc aetna whole health fee schedule · both	$12	$16	$12	77%	—	$5 – $35
5	Cigna omc cigna oap fee schedule · both	$12	$16	$12	77%	—	$5 – $35
6	Cigna omc cigna ppo fee schedule · both	$14	$18	$14	77%	—	$5 – $38
7	Aetna omc aetna fee schedule · both	$14	$18	$14	77%	—	$6 – $39
8	Aetna Better Health omc aetna better health percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
9	Aetna omc aetna ahs employee other · outpatient	$26	$26	—	—	—	$26 – $26
10	Aetna omc aetna medicare fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
11	Aetna omc aetna nnj prime other · outpatient	$26	$26	—	—	—	$26 – $26
12	Ambetter omc ambetter wellcare of nj other · outpatient	$26	$26	—	—	—	$26 – $26
13	Anthem omc horizon braven other · outpatient	$26	$26	—	—	—	$26 – $26
14	Blue Cross Blue Shield omc horizon braven other · outpatient	$26	$26	—	—	—	$26 – $26
15	Cigna omc cigna medicare fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
16	Highmark omc highmark wholecare / gateway health plan inc other · outpatient	$26	$26	—	—	—	$26 – $26
17	Highmark omc horizon braven other · outpatient	$26	$26	—	—	—	$26 – $26
18	Tricare omc tricare contract other · outpatient	$26	$26	—	—	—	$26 – $26
19	Tricare omc tricare-east (humana military) other · outpatient	$26	$26	—	—	—	$26 – $26
20	WellCare omc wellcare phw other · outpatient	$26	$26	—	—	—	$26 – $26
21	WellCare omc wellcare/fedelis medicare other · outpatient	$26	$26	—	—	—	$26 – $26
22	Amerihealth Caritas omc amerihealth caritas other · outpatient	$26	$26	—	—	—	$26 – $26
23	Aetna omc aetna htc other · outpatient	$36	$36	—	—	—	$36 – $36
24	Blue Cross Blue Shield omc horizon commercial fee schedule · both	$31	$40	$30	77%	—	$12 – $86
25	Blue Cross Blue Shield omc horizon omnia fee schedule · both	$31	$40	$30	77%	—	$12 – $86

Page 1 of 2 · 45 rates

Last updated: Apr 1, 2026

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