healthcosts.net
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
$87.60
state median
$797.40
highest in Pennsylvania
$87.60
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Williamsport | Williamsport | $16.60 | $3.22 – $18.00 | 16 |
| UPMC Mercy | Pittsburgh | $45.20 | $1.88 – $20.67 | 18 |
| UPMC Somerset | Somerset | $60.00 | $0.67 – $20.46 | 10 |
| UPMC Muncy | Muncy | $87.60 | $3.00 – $18.00 | 16 |
| UPMC Wellsboro | Wellsboro | $87.60 | $3.22 – $18.00 | 14 |
| UPMC Western Psychiatric | Pittsburgh | $115.20 | $3.22 – $162.35 | 7 |
| UPMC Northwest | Seneca | $117.00 | $1.88 – $30.01 | 13 |
| UPMC Passavant-McCandless | Pittsburgh | $117.60 | $2.03 – $162.35 | 14 |
| UPMC St. Margaret | Pittsburgh | $168.80 | $1.88 – $20.87 | 12 |
| UPMC Presbyterian | Pittsburgh | $797.40 | $2.03 – $162.35 | 18 |