HCPCS J0641
Injection, levoleucovorin, not otherwise specified, 0.5 mg
Current code13 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1.40 | — | — |
| Deaconess Medical Center | $1.56 | — | — |
| Island Hospital | — | — | — |
| Mary Bridge Children's Hospital | $2.75 – $396 | — | — |
| MultiCare Auburn Medical Center | $1.02 – $1.62 | — | — |
| MultiCare Covington Medical Center | $1.02 – $1.62 | — | — |
| MultiCare Good Samaritan Hospital | $1.02 – $1.62 | — | — |
| MultiCare Valley Hospital | $1.56 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $1.38 – $2.07 | — | — |
| Tacoma General Allenmore Hospital | $1.02 – $1.62 | — | — |
| Virginia Mason Medical Center | $1.04 | — | — |
| Yakima Valley Memorial | $1.04 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.