Leucovorin calcium 100 mg solution for injection (1 mg rounding) cost in Texas
LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION (1 MG ROUNDING) · HCPCS J0640
$21.42
lowest in Texas
$148.77
state median
$733.10
highest in Texas
$146.32
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension Seton Cedar Park Hospital | Cedar Park | $21.42 | $3.32 – $10.77 | 4 |
| HCA HOUSTON NORTHWEST | SPRING | $40.63 | $3.51 – $33.21 | 6 |
| HCA HOUSTON MEDICAL CENTER | Houston | $42.83 | $3.51 – $33.21 | 6 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $90.95 | $2.55 – $11.05 | 7 |
| HCA HOUSTON KINGWOOD | HUMBLE | $104.89 | $3.84 – $33.21 | 6 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $113.50 | $2.80 – $56.62 | 24 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $113.50 | $2.80 – $56.62 | 23 |
| St. Luke's Health - The Vintage Hospital | Houston | $113.50 | $2.80 – $56.62 | 23 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $113.50 | $2.80 – $56.62 | 23 |
| Baylor St Luke's Medical Center | Houston | $113.50 | $2.31 – $56.62 | 24 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $148.77 | $3.32 – $3.32 | 1 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $148.77 | $3.32 – $3.32 | 1 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $148.77 | $3.32 – $3.32 | 1 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $148.77 | $3.32 – $3.32 | 1 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $163.62 | $3.32 – $3.32 | 1 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $163.62 | $3.32 – $3.32 | 1 |
| Covenant Medical Center | Lubbock | $192.36 | $9.61 – $22.04 | 5 |
| Adventhealth Central Texas | Killeen | $202.68 | $9.89 – $9.89 | 1 |
| Adventhealth Rollins Brook | Lampasas | $202.68 | $9.89 – $9.89 | 1 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $289.28 | $3.32 – $3.32 | 1 |
| St. Luke's Health Memorial Livingston | Livingston | $297.73 | $5.50 – $135.36 | 10 |
| St. Luke's Health Memorial Lufkin | Lufkin | $297.73 | $5.50 – $135.36 | 10 |
| St. Luke's Health Memorial San Augustine | San Augustine | $297.73 | $5.50 – $135.36 | 10 |
| Covenant Children's Hospital | Lubbock | $527.91 | $9.61 – $16.99 | 4 |
| HCA HOUSTON PEARLAND | Pearland | $718.16 | $3.51 – $33.21 | 6 |
| Texas Health Hospital Mansfield | Mansfield | $733.10 | $3.40 – $3.40 | 1 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $733.10 | $3.40 – $3.40 | 1 |
| Covenant Hospital Levelland | Levelland | not published | $9.53 – $9.53 | 1 |
| Covenant Hospital Plainview | Plainview | not published | $9.53 – $9.53 | 1 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $3.51 – $33.21 | 6 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $3.51 – $33.21 | 5 |
| HCA HOUSTON WEST | HOUSTON | not published | $3.84 – $33.21 | 6 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $3.51 – $33.21 | 6 |
| HCA HOUSTON CONROE | CONROE | not published | $3.84 – $33.21 | 5 |