Leucovorin calcium 100 mg solution for injection (1 mg rounding) cost in Maine
LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION (1 MG ROUNDING) · HCPCS J0640
$105.67
lowest in Maine
$201.49
state median
$858.86
highest in Maine
$163.62
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Franklin Memorial Hospital | Farmington | $105.67 | $3.48 – $99.33 | 8 |
| Stephens Memorial Hospital | Norway | $120.79 | $3.48 – $22.34 | 9 |
| Mid Coast Hospital | Brunswick | $201.49 | $3.48 – $47.55 | 6 |
| Lincoln Health | Damariscotta | $242.98 | $3.48 – $114.20 | 9 |
| Waldo County General Hospital | Belfast | $696.95 | $3.48 – $125.54 | 9 |
| Pen Bay Medical Center | Rockport | $858.86 | $3.48 – $95.98 | 6 |
| Spring Harbor Hospital | Westbrook | not published | $4.43 – $9.88 | 4 |