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
Michigan
Hospital Address Code Price Last Updated
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City J0640 $4 [source] 4 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City J0640 $4 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren J0640 $5 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak J0640 $5 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester J0640 $6 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak J0640 $8 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak J0640 $8 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak J0640 $8 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak J0640 $8 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak J0640 $8 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak J0640 $8 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak J0640 $8 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak J0640 $8 [source] 4 years ago
William Beaumont Hospital - Crna 468 Cadieux Rd, Grosse Pointe J0640 $8 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield J0640 $8 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren J0640 $9 [source] 4 years ago
Mclaren Oakland 50 N Perry St, Pontiac J0640 $10 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette J0640 $16 [source] 4 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey J0640 $18 [source] 4 years ago
Dmc Huron Valley - Sinai Hospital 1 William Carls Drive, Commerce Township J0640 $41 [source] 4 years ago
William Beaumont Hospital 5450 Fort St, Trenton J0640 $47 [source] 4 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor J0640 $47 [source] 4 years ago
Beaumont - Farmington Hills 28050 Grand River Ave, Farmington J0640 $47 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington J0640 $47 [source] 4 years ago
Mclaren Port Huron 1221 Pine Grove Ave, Port Huron J0640 $49 [source] 4 years ago
Mclaren Thumb Region 1100 S Van Dyke Rd, Bad Axe J0640 $68 [source] 4 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma J0640 $84 [source] 4 years ago
Midmichigan Medical Center Midland , Midland J0640 $124 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy J0640 $153 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy J0640 $153 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy J0640 $153 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit J0640 $180 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens J0640 $185 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn J0640 $244 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn J0640 $244 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn J0640 $244 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant J0640 $375 [source] 4 years ago
Beaumont Wayne 33155 Annapolis St, Wayne J0640 $1,051 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, J0640 $1,051 [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 §180.