J0641 (HCPCS) by state — Price Transparency

HCPCS · across United States

J0641 — Inj Levoleucovorin Nos 0.5mg

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$29 National median

$0 – $219 IQR (p25 – p75)

1,499 hospitals filing

51 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $123.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for J0641 (HCPCS), with interquartile range
State	Median	p25	p75
WY	$723	$708	$730
AK	$458	$451	$465
CO	$341	$0	$1,937
KS	$240	$0	$1,377
MT	$191	$0	$550
NC	$182	$2	$444
TX	$125	$1	$478
DC	$114	$0	$174
MS	$112	$43	$202
NE	$86	$0	$769
AR	$83	$18	$249
OH	$72	$49	$252
NV	$69	$1	$298
VA	$59	$0	$250
IA	$57	$1	$114
IL	$45	$0	$1,652
FL	$28	$2	$149
TN	$28	$0	$132
HI	$15	$0	$326
KY	$10	$0	$791
NM	$6	$1	$6
AL	$5	$0	$11
AZ	$5	$0	$237
ID	$2	$0	$1,008
GA	$2	$0	$9
MD	$2	$1	$1,718
MO	$1	$0	$182
IN	$1	$0	$116
ME	$1	$0	$1
OK	$1	$0	$3
SC	$1	$0	$6
LA	$0	$0	$212
CA	$0	$0	$9
OR	$0	$0	$9
WA	$0	$0	$3
UT	$0	$0	$488
VT	$0	$0	$846
ND	$0	$0	$237
PR	$0	$0	$0
WI	$0	$0	$19
MN	$0	$0	$23
NH	$0	$0	$0
CT	$0	$0	$1
NY	$0	$0	$0
MA	$0	$0	$142
MI	$0	$0	$22
NJ	$0	$0	$0
PA	$0	$0	$0
RI	$0	$0	$0
WV	$0	$0	$0
SD	$0	$0	$0

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

WY	$723	$708	$730	<$1	$730	2 ⚠ thin data	23	42
AK	$458	$451	$465	<$1	$474	2 ⚠ thin data	8	10
CO	$341	<$1	$1,937	<$1	$6,462	48	84	1,464
KS	$240	<$1	$1,377	<$1	$5,965	23	68	523
MT	$191	<$1	$550	<$1	$955	12	42	292
NC	$182	$2	$444	<$1	$1,562	46	101	2,433
TX	$125	<$1	$478	<$1	$7,868	143	143	4,419
DC	$114	<$1	$174	<$1	$976	2 ⚠ thin data	12	28
MS	$112	$43	$202	<$1	$906	23	131	4,825
NE	$86	<$1	$769	<$1	$986	7	42	77
AR	$83	$18	$249	<$1	$4,434	12	72	842
OH	$72	$49	$252	<$1	$1,658	71	83	1,907
NV	$69	<$1	$298	<$1	$1,033	19	76	453
VA	$59	<$1	$250	<$1	$1,307	22	26	266
IA	$57	<$1	$114	<$1	$640	9	33	118
IL	$45	<$1	$1,652	<$1	$3,978	52	56	496
FL	$28	$2	$149	<$1	$15,000	117	230	2,469
TN	$28	<$1	$132	<$1	$430	37	84	2,405
HI	$15	<$1	$326	<$1	$4,947	14	28	198
KY	$10	<$1	$791	<$1	$1,582	27	66	701
NM	$6	$1	$6	<$1	$20	10	32	113
AL	$5	<$1	$11	<$1	$1,602	25	119	549
AZ	$5	<$1	$237	<$1	$1,721	21	62	337
ID	$2	<$1	$1,008	<$1	$3,824	7	24	55
GA	$2	<$1	$9	<$1	$2,016	34	61	1,054
MD	$2	<$1	$1,718	<$1	$3,023	1 ⚠ thin data	11	39
MO	$1	<$1	$182	<$1	$842	25	113	487
IN	$1	<$1	$116	<$1	$2,252	32	158	992
ME	<$1	<$1	$1	<$1	$704	18	6	49
OK	<$1	<$1	$3	<$1	$881	37	42	285
SC	<$1	<$1	$6	<$1	$1,688	29	45	369
LA	<$1	<$1	$212	<$1	$2,036	18	113	432
CA	<$1	<$1	$9	<$1	$2,318	139	181	1,697
OR	<$1	<$1	$9	<$1	$2,393	20	43	182
WA	<$1	<$1	$3	<$1	$876	32	32	359
UT	<$1	<$1	$488	<$1	$5,657	35	110	915
VT	<$1	<$1	$846	<$1	$1,041	3	21	41
ND	<$1	<$1	$237	<$1	$344	6	12	28
PR	<$1	<$1	<$1	<$1	<$1	1 ⚠ thin data	5	5
WI	<$1	<$1	$19	<$1	$1,079	51	82	622
MN	<$1	<$1	$23	<$1	$380	36	29	240
NH	<$1	<$1	<$1	<$1	$7	13	19	263
CT	<$1	<$1	$1	<$1	$1,608	11	10	100
NY	<$1	<$1	<$1	<$1	$1,224	57	137	1,781
MA	<$1	<$1	$142	<$1	$975	16	53	174
MI	<$1	<$1	$22	<$1	$790	50	38	248
NJ	<$1	<$1	<$1	<$1	$1,324	34	90	661
PA	<$1	<$1	<$1	<$1	$24,358	39	96	863
RI	<$1	<$1	<$1	<$1	<$1	4	4	27
WV	<$1	<$1	<$1	<$1	$989	3	11	34
SD	<$1	<$1	<$1	<$1	<$1	1 ⚠ thin data	1	1