Leucovorin calcium 100 mg solution for injection (1 mg rounding) cost in New Jersey

LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION (1 MG ROUNDING) · HCPCS J0640

Hospital City Cash price Negotiated range Payers
Monmouth Medical Center Southern Campus Lakewood not published $3.34 – $5.12 5
Monmouth Medical Center Long Branch not published $3.34 – $5.12 5
Jersey City Medical Center Jersey City not published $3.34 – $4.99 6
Robert Wood Johnson University Hospital Hamilton Hamilton Township not published $3.34 – $4.99 5
Clara Maass Medical Center Belleville not published $3.34 – $5.12 5
Community Medical Center Toms River not published $3.34 – $4.99 5
Cooperman Barnabas Medical Center Livingston not published $3.34 – $5.12 5
Trinitas Regional Medical Center Elizabeth not published $3.35 – $25.38 6
Robert Wood Johnson University Hospital Somerset Somerville not published $3.34 – $4.99 6
Robert Wood Johnson University Hospital Rahway Rahway not published $3.34 – $4.75 4
Newark Beth Israel Medical Center Newark not published $3.34 – $5.12 5
Robert Wood Johnson University Hospital New Brunswick not published $2.76 – $5.20 6
JFK Johnson Rehabilitation Institute (JRI) Edison not published $3.36 – $8.14 5
Southern Ocean Medical Center Manahawkin not published $3.36 – $5.82 2
Riverview Medical Center Red Bank not published $3.36 – $8.14 4
Raritan Bay Medical Center Perth Amboy not published $3.36 – $8.14 4
Palisades Medical Center North Bergen not published $3.36 – $8.14 4
Jersey Shore University Medical Center Neptune City not published $3.36 – $5.82 2