πŸ“‹ Medical Procedure Code

J0640

Injection, leucovorin calcium, per 50 mg
Other Descriptions:
LEUCOVORIN 10 MG/ML INJ
LEUCOVORIN CA 100 MG INJ
LEUCOVORIN CA 350 MG INJ
LEUCOVORIN CA 500 MG INJ
LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION
LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION
LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION
LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION
LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION
Related codes:
Code: J0641
Description: Injection, levoleucovorin, not otherwise specified, 0.5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J0642
Description: Injection, levoleucovorin (khapzory), 0.5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs

Hospital Prices in Wisconsin

Detailed hospital-level pricing for procedure code J0642 across Wisconsin. Compare prices from different hospitals to understand cost variations in your area.

πŸ—ΊοΈ Hospital Locations Map

πŸ’‘ Tip: Click on any marker to see hospital details. Colors indicate relative pricing - red shows higher prices, green shows lower prices.

πŸ“Š Hospital Prices in Wisconsin

State Average: $62

Hospital Address Code Price Last Updated
Ascension Calumet Hospital 614 Memorial Dr, Chilton J0640 $5 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette J0640 $6 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee J0640 $10 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay J0640 $36 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers J0640 $37 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc J0640 $42 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton J0640 $47 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn J0640 $58 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington J0640 $58 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh J0640 $63 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha J0640 $68 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee J0640 $75 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy J0640 $76 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee J0640 $76 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee J0640 $76 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand J0640 $81 [source] 4 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown J0640 $91 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford J0640 $95 [source] 4 years ago
Adventhealth Durand 1220 3Rd Ave W, Durand J0640 $112 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan J0640 $123 [source] 4 years ago

ℹ️ About This Data

The prices shown are from hospital chargemaster files, which represent the list prices hospitals charge before insurance negotiations or discounts. Your actual cost may be different depending on your insurance coverage, deductibles, and negotiated rates. Always check with your insurance provider and hospital for accurate cost estimates.


ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR Β§180.