HospitalPricer

J0640

HCPCS

LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code J0640 (LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION) appears at 41 hospitals with disclosed cash prices from $15.34 to $929. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

40
hospitals publish a price
1
list this service without a published price
111
Cash
111
List
101
Negotiated
0
Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J0640 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Published cash prices for code J0640 vary by about 61× across the 40 hospitals with disclosed prices here — from $15.34 to $929. Shopping around can matter.

40
Hospitals
128
Prices shown
$15.34
Lowest cash
$929
Highest cash
code J0640 cash price111 disclosed · 40 hospitals
$15.34median ~$54.72$929

Cash price by city

Reflects your current filters.

Cash price by city$15.34$72.50
  • Green Bay · 1 hospital$15.34
  • Hazel Crest · 1 hospital$19.32
  • Chicago · 1 hospital$23.21
  • Marinette · 1 hospital$24.36
  • Lincolnton · 1 hospital$27.15–$72.50
  • Henderson · 1 hospital$33.30–$52.35

128 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION
Inpatient
Carle Foundation HospitalJ0640
HCPCS
$107$107$5.14 – $70.92
LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION
Inpatient
Carle Foundation HospitalJ0640
HCPCS
$107$107$5.14 – $70.92
Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9368-01) / 20 Ml In 1 Vial
Inpatient & outpatient
Endeavor Health Edward HospitalJ0640
HCPCS
$148$148
Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01) / 10 Ml In 1 Vial
Inpatient & outpatient
Endeavor Health Edward HospitalJ0640
HCPCS
$45.10$45.10
Leucovorin Calcium: 1 Vial In 1 Carton (25021-814-30) / 10 Ml In 1 Vial
Inpatient & outpatient
Endeavor Health Edward HospitalJ0640
HCPCS
$929$929
Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30) / 17.5 Ml In 1 Vial
Inpatient & outpatient
Endeavor Health Edward HospitalJ0640
HCPCS
$157$157
Leucovorin Calcium: 1 VIAL in 1 BOX, UNIT-DOSE (55390-054-01) / 17.5 mL in 1 VIAL
Inpatient & outpatient
Endeavor Health Edward HospitalJ0640
HCPCS
$47.65$47.65
Leucovorin calcium injection
Outpatient
Endeavor Health Edward HospitalJ0640
HCPCS
$8.49 – $8.49
LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION
Inpatient
Methodist Medical Center of IllinoisJ0640
HCPCS
$107$107$5.14 – $70.92
LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION
Inpatient
Methodist Medical Center of IllinoisJ0640
HCPCS
$107$107$5.14 – $70.92
Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01) / 10 Ml In 1 Vial
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 Vial In 1 Carton (25021-814-30) / 10 Ml In 1 Vial
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-528-10) / 10 Ml In 1 Vial, Single-Dose
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-161-20) / 10 Ml In 1 Vial, Single-Dose
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 Vial, Single-Use In 1 Carton (63323-631-10) / 10 Ml In 1 Vial, Single-Use
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 Vial In 1 Box (63323-710-50) / 20 Ml In 1 Vial
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-529-20) / 20 Ml In 1 Vial, Single-Dose
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 Vial In 1 Box (0143-9555-01) / 5 Ml In 1 Vial
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 10 Vial In 1 Carton (25021-813-10) / 5 Ml In 1 Vial
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 10 VIAL in 1 BOX (55390-051-10) / 5 mL in 1 VIAL
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-160-10) / 5 Ml In 1 Vial, Single-Dose
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9552-01) / 17.5 Ml In 1 Vial
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5145-01) / 17.5 mL in 1 VIAL, SINGLE-USE
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30) / 17.5 Ml In 1 Vial
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS
Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-530-35) / 17.5 Ml In 1 Vial, Single-Dose
Inpatient & outpatient
University of Chicago Medical CenterJ0640
HCPCS

How to read these prices

Cash price
The discounted self-pay price for paying directly, without insurance.
List price
The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate
A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount
A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J0640 prices

Open a hospital to see this code in the context of its full published prices.

Carle Foundation Hospital Endeavor Health Edward Hospital Methodist Medical Center of Illinois University of Chicago Medical Center Carle BroMenn Medical Center Advocate Illinois Masonic Medical Center Advocate South Suburban Hospital Deaconess Gateway Hospital Froedtert Hospital Froedtert Menomonee Falls Hospital Aurora BayCare Medical Center Aurora Medical Center Bay Area Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Henderson Hospital Deaconess Gibson Hospital Providence Kodiak Island Medical Center Stanford Health Care Tri-Valley Texas Health Presbyterian Hospital Allen Texas Health Harris Methodist Hospital Alliance Providence Holy Cross Medical Center Texas Health Arlington Memorial Hospital Texas Health Harris Methodist Hospital Azle Texas Health Harris Methodist Hospital Cleburne Texas Health Presbyterian Hospital Dallas Texas Health Presbyterian Hospital Denton Texas Health Presbyterian Hospital Flower Mound Texas Health Harris Methodist Hospital Fort Worth Texas Health Hospital Frisco Texas Health Heart & Vascular Hospital Arlington Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Texas Health Presbyterian Hospital Kaufman Texas Health Presbyterian Hospital Plano Texas Health Hospital Rockwall Texas Health Harris Methodist Hospital Southlake Texas Health Harris Methodist Hospital Southwest Fort Worth Texas Health Specialty Hospital Fort Worth Texas Health Springwood Hospital Hurst-Euless-Bedford Texas Health Harris Methodist Hospital Stephenville Atrium Health Anson Atrium Health Lincoln

Code J0640: frequently asked

What does code J0640 cost?
Across the published hospital price files, the disclosed cash price for J0640 ranges from $15.34 to $929. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?
Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J0640?
J0640 is the billing code hospitals use to identify "LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?
Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not
It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

Related

Hospitals publishing code J0640 by state