Leucovorin calcium 100 mg solution for injection (1 mg rounding) cost in Pennsylvania
LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION (1 MG ROUNDING) · HCPCS J0640
$16.60
lowest in Pennsylvania
$115.20
state median
$797.40
highest in Pennsylvania
$163.62
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Williamsport | Williamsport | $16.60 | $3.22 – $3.54 | 5 |
| UPMC Altoona | Altoona | $19.20 | $2.03 – $20.67 | 12 |
| UPMC Cole | Coudersport | $39.00 | $3.22 – $52.00 | 14 |
| UPMC Mercy | Pittsburgh | $45.20 | $2.03 – $20.67 | 5 |
| UPMC Community Osteopathic | Harrisburg | $60.00 | $0.40 – $34.42 | 12 |
| UPMC Hanover | Hanover | $60.00 | $3.22 – $6.30 | 6 |
| UPMC Lititz | Lititz | $60.00 | $3.22 – $6.30 | 6 |
| UPMC Memorial | York | $60.00 | $3.22 – $16.85 | 9 |
| UPMC Somerset | Somerset | $60.00 | $3.22 – $20.46 | 5 |
| UPMC Carlisle | Carlisle | $60.00 | $0.27 – $6.30 | 14 |
| UPMC Muncy | Muncy | $87.60 | $3.22 – $3.54 | 5 |
| UPMC Wellsboro | Wellsboro | $87.60 | $3.22 – $3.54 | 5 |
| UPMC Western Psychiatric | Pittsburgh | $115.20 | $3.22 – $20.45 | 2 |
| UPMC Northwest | Seneca | $117.00 | $2.03 – $30.01 | 5 |
| UPMC Passavant-McCandless | Pittsburgh | $117.60 | $2.03 – $20.87 | 5 |
| UPMC Magee | Pittsburgh | $129.60 | $2.03 – $20.87 | 7 |
| WellSpan Good Samaritan Hospital | Lebanon | $131.80 | $3.49 – $88.48 | 10 |
| UPMC Horizon-Greenville | Greenville | $147.20 | $2.03 – $29.47 | 6 |
| UPMC McKeesport | Mckeesport | $153.00 | $2.03 – $20.87 | 6 |
| UPMC East | Monroeville | $168.80 | $2.03 – $168.80 | 13 |
| UPMC St. Margaret | Pittsburgh | $168.80 | $2.03 – $20.87 | 4 |
| UPMC Hamot | Erie | $202.80 | $2.03 – $12.18 | 7 |
| Uniontown Hospital | Uniontown | $375.45 | $6.34 – $6.34 | 1 |
| WellSpan Gettysburg Hospital | Gettysburg | $502.00 | $22.53 – $88.48 | 9 |
| UPMC Presbyterian | Pittsburgh | $797.40 | $2.03 – $20.87 | 6 |