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
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway J0640 $5 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo J0640 $10 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass J0640 $19 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo J0640 $26 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine J0640 $37 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen J0640 $39 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville J0640 $44 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg J0640 $50 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen J0640 $50 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen J0640 $50 [source] 4 years ago
Medical City Mckinney 13155 Noel Rd. Suite 200, Dallas J0640 $57 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston J0640 $63 [source] 4 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston J0640 $66 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth J0640 $69 [source] 4 years ago
St. David's Healthcare , Round Rock J0640 $73 [source] 4 years ago
The Hospitals Of Providence Memorial Campus 2001 North Oregon, El Paso J0640 $81 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco J0640 $83 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison J0640 $100 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson J0640 $132 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington J0640 $141 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham J0640 $158 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station J0640 $158 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls J0640 $158 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor J0640 $158 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills J0640 $160 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda J0640 $189 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy J0640 $189 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville J0640 $189 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin J0640 $189 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano J0640 $236 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving J0640 $236 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano J0640 $236 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney J0640 $236 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco J0640 $236 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth J0640 $236 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano J0640 $236 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas J0640 $236 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey J0640 $236 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie J0640 $236 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett J0640 $236 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton J0640 $236 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine J0640 $236 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple J0640 $236 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas J0640 $313 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford J0640 $372 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen J0640 $566 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston J0640 $1,054 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi J0640 $3,902 [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.