Code: J0640

Description:
Description: Injection, leucovorin calcium, per 50 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
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
LEVOLEUCOV NOS 50MG INJ
Code: J0642
Description: Injection, levoleucovorin (khapzory), 0.5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
California
Hospital Address Code Price Last Updated
El Camino Hospital 2500 Grant Rd, Mountain View J0640 $3 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona J0640 $17 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale J0640 $21 [source] 4 years ago
Emanuel Medical Center 825 Delbon Avenue, Turlock J0640 $48 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville J0640 $110 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco J0640 $110 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills J0640 $110 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento J0640 $110 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch J0640 $110 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto J0640 $110 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro J0640 $110 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek J0640 $110 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara J0640 $110 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond J0640 $110 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon J0640 $110 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City J0640 $110 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo J0640 $110 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael J0640 $110 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco J0640 $110 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno J0640 $110 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville J0640 $110 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose J0640 $110 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento J0640 $110 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula J0640 $115 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks J0640 $117 [source] 4 years ago
Sutter Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa J0640 $174 [source] 4 years ago
Sutter Davis Hospital 2000 Sutter Pl, Davis J0640 $189 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento J0640 $189 [source] 4 years ago
Doctors Medical Center Of Modesto 1441 Florida Ave., Modesto J0640 $208 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose J0640 $443 [source] 4 years ago
Sutter Auburn Faith Hospital 11815 Education St, Auburn J0640 $531 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside J0640 $757 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills J0640 $1,256 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta J0640 $2,395 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar J0640 $2,395 [source] 4 years ago

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 ยง180.