healthcosts.net

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

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

$13.62

lowest in Wisconsin

$21.27

state median

$540.95

highest in Wisconsin

$146.32

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$13.62	$4.14 – $14.34	10
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$16.49	$4.14 – $14.34	10
Ascension St. Francis Hospital, Inc.	Milwaukee	$16.49	$4.14 – $12.69	10
Ascension Calumet Hospital, Inc.	Chilton	$21.27	$5.63 – $25.72	6
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$21.27	$5.63 – $22.65	6
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$21.27	$5.63 – $25.72	6
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$23.32	$4.14 – $12.69	10
Adventhealth Durand	Durand	$540.95	not published	0
SSM Health Waupun Memorial Hospital	Waupun	not published	$3.86 – $11.32	5
SSM Health St. Mary's Hospital - Madison	Madison	not published	$5.09 – $7.70	3
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$5.09 – $7.70	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$5.09 – $7.70	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$3.86 – $11.32	5
SSM Health Ripon Community Hospital	Ripon	not published	$3.86 – $11.32	5
SSM Health Monroe Hospital	Monroe	not published	$3.51 – $10.54	6