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
Florida
Hospital Address Code Price Last Updated
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando J0640 $6 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa J0640 $10 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton J0640 $17 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton J0640 $17 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando J0640 $20 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach J0640 $25 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park J0640 $36 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka J0640 $36 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando J0640 $36 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee J0640 $36 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center J0640 $43 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson J0640 $47 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa J0640 $68 [source] 4 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City J0640 $74 [source] 4 years ago
Fort Walton Beach Medical Center 1000 Mar Walt Dr, Fort Walton Beach J0640 $79 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland J0640 $86 [source] 4 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce J0640 $102 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee J0640 $106 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo J0640 $122 [source] 4 years ago
Central Florida Regional Hospital 1401 West Seminole Blvd, Sanford J0640 $122 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares J0640 $123 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City J0640 $134 [source] 4 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach J0640 $142 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte J0640 $156 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale J0640 $189 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg J0640 $199 [source] 4 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg J0640 $200 [source] 4 years ago
Bert Fish Medical Center Inc 401 Palmetto St, New Smyrna Beach J0640 $202 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville J0640 $203 [source] 4 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie J0640 $209 [source] 4 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola J0640 $240 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa J0640 $240 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa J0640 $240 [source] 4 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale J0640 $265 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale J0640 $284 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales J0640 $291 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills J0640 $309 [source] 4 years ago
Florida Hospital Zephyrhills Inc 7050 Gall Blvd, Zephyrhills J0640 $310 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton J0640 $317 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville J0640 $323 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth J0640 $330 [source] 4 years ago
Jfk Medical Center - North Campus 2201 45Th St, West Palm Beach J0640 $330 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon J0640 $353 [source] 4 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness J0640 $358 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City J0640 $365 [source] 4 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach J0640 $379 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg J0640 $392 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala J0640 $402 [source] 4 years ago
Tarpon Springs Hospital Foundation Inc 1395 S Pinellas Ave, Tarpon Springs J0640 $410 [source] 4 years ago
Poinciana Medical Center 325 Cypress Pkwy, Kissimmee J0640 $466 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala J0640 $490 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami J0640 $494 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey J0640 $521 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee J0640 $522 [source] 4 years ago
Adventist Health System Sunbelt Inc. 735 S 5Th Ave, Wauchula J0640 $536 [source] 4 years ago
Adventist Health System-Sunbelt Inc 4200 Sun N Lake Blvd, Sebring J0640 $536 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota J0640 $537 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami J0640 $539 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami J0640 $548 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa J0640 $604 [source] 4 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park J0640 $944 [source] 4 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee J0640 $1,146 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville J0640 $1,512 [source] 4 years ago
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring J0640 $2,964 [source] 4 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale J0640 $5,152 [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.