LEUCOVORIN CALCIUM FOR INJ 100 MG - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Providence St. Peter Hospital | Olympia, WA | $18.56 | - | $35.70 | - |
| St. Patrick Hospital | Missoula, MT | $32.70 | - | $40.88 | - |
| Mat-Su Regional Medical Center | Palmer, AK | $18.00 | $45.60 | $60.00 | $6.43 - $57.60 |
| Covenant Medical Center | Lubbock, TX | $60.90 | - | $145 | - |
| Grandview Medical Center | Birmingham, AL | $20.10 | $73.70 | $134 | $5.14 - $134 |
| Providence St. Joseph Medical Center | Polson, MT | $75.63 | - | $94.54 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $84.76 | - | $113 | - |
| Providence Newberg Medical Center | Newberg, OR | $84.76 | - | $113 | - |
| Providence Seaside Hospital | Seaside, OR | $84.76 | - | $113 | - |
| Providence Medford Medical Center | Medford, OR | $84.76 | - | $113 | - |
| Providence St. Vincent Medical Center | Portland, OR | $84.76 | - | $113 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $84.76 | - | $113 | - |
| Providence Portland Medical Center | Portland, OR | $97.56 | - | $130 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $100 | - | $286 | - |
| Providence Holy Family Hospital | Spokane, WA | $101 | - | $144 | - |
| Saint John'S Health Center | Santa Monica, CA | $101 | - | $289 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $105 | - | $300 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $105 | - | $300 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $107 | - | $304 | - |
| Gadsden Regional Medical Center | Gadsden, AL | $63.90 | $108 | $532 | $5.14 - $1,525 |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $117 | - | $150 | - |
| Providence Alaska Medical Center | Anchorage, AK | $117 | - | $150 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $135 | - | $192 | - |
| Crestwood Medical Center | Huntsville, AL | $58.81 | $145 | $327 | $3.22 - $653 |
| St. Mary Medical Center | Long Beach, CA | $155 | - | $322 | - |
| Kadlec Regional Medical Center | Richland, WA | $156 | - | $223 | - |
| Providence St. Joseph Hospital | Eureka, CA | $162 | - | $337 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $164 | - | $341 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $164 | - | $341 | - |
| Swedish Issaquah | Issaquah, WA | $164 | - | $341 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $164 | - | $342 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $164 | - | $322 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $171 | - | $336 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $182 | - | $356 | - |
| Flowers Hospital | Dothan, AL | $42.50 | $212 | $283 | $4.43 - $283 |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.