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 – $216 IQR (p25 – p75)

1,525 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: $119.

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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	$368	$0	$1,937
MT	$191	$0	$550
NC	$182	$2	$444
TX	$125	$1	$454
DC	$114	$0	$174
MS	$112	$43	$203
KS	$90	$0	$698
NE	$86	$0	$769
AR	$84	$18	$255
IL	$74	$0	$1,621
OH	$72	$48	$252
NV	$65	$0	$298
VA	$59	$0	$250
IA	$48	$1	$114
FL	$29	$3	$201
TN	$28	$0	$132
HI	$15	$0	$326
KY	$6	$0	$791
NM	$6	$1	$6
AL	$5	$0	$12
AZ	$5	$0	$237
GA	$2	$0	$9
MD	$2	$1	$1,718
MO	$1	$0	$180
ID	$1	$0	$3
IN	$1	$0	$116
ME	$1	$0	$1
LA	$1	$0	$225
OK	$1	$0	$3
CA	$0	$0	$16
OR	$0	$0	$9
WA	$0	$0	$3
SC	$0	$0	$5
UT	$0	$0	$488
VT	$0	$0	$846
ND	$0	$0	$237
PR	$0	$0	$0
MN	$0	$0	$34
WI	$0	$0	$19
NY	$0	$0	$0
CT	$0	$0	$1
NH	$0	$0	$0
MA	$0	$0	$142
MI	$0	$0	$31
RI	$0	$0	$0
NJ	$0	$0	$0
PA	$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	22	41
AK	$458	$451	$465	<$1	$474	2 ⚠ thin data	8	10
CO	$368	<$1	$1,937	<$1	$6,462	48	84	1,455
MT	$191	<$1	$550	<$1	$955	12	42	292
NC	$182	$2	$444	<$1	$1,562	46	101	2,433
TX	$125	<$1	$454	<$1	$7,868	144	161	4,647
DC	$114	<$1	$174	<$1	$976	2 ⚠ thin data	12	28
MS	$112	$43	$203	<$1	$906	23	132	4,827
KS	$90	<$1	$698	<$1	$5,965	23	69	481
NE	$86	<$1	$769	<$1	$986	7	42	77
AR	$84	$18	$255	<$1	$4,172	13	67	849
IL	$74	<$1	$1,621	<$1	$3,978	52	56	515
OH	$72	$48	$252	<$1	$1,658	73	83	1,915
NV	$65	<$1	$298	<$1	$1,033	18	81	470
VA	$59	<$1	$250	<$1	$1,307	22	26	266
IA	$48	<$1	$114	<$1	$640	10	34	120
FL	$29	$3	$201	<$1	$15,000	120	233	2,535
TN	$28	<$1	$132	<$1	$430	38	84	2,405
HI	$15	<$1	$326	<$1	$4,947	14	28	198
KY	$6	<$1	$791	<$1	$1,582	27	69	692
NM	$6	$1	$6	<$1	$25	10	32	113
AL	$5	<$1	$12	<$1	$1,602	25	119	554
AZ	$5	<$1	$237	<$1	$1,721	21	62	337
GA	$2	<$1	$9	<$1	$2,016	35	61	1,059
MD	$2	<$1	$1,718	<$1	$3,023	1 ⚠ thin data	11	39
MO	$1	<$1	$180	<$1	$842	26	113	496
ID	$1	<$1	$3	<$1	$3,824	8	29	70
IN	$1	<$1	$116	<$1	$2,252	32	158	992
ME	<$1	<$1	$1	<$1	$704	19	7	49
LA	<$1	<$1	$225	<$1	$2,036	19	118	445
OK	<$1	<$1	$3	<$1	$881	37	42	290
CA	<$1	<$1	$16	<$1	$2,318	142	183	1,703
OR	<$1	<$1	$9	<$1	$2,393	20	43	182
WA	<$1	<$1	$3	<$1	$876	32	32	359
SC	<$1	<$1	$5	<$1	$1,688	30	54	396
UT	<$1	<$1	$488	<$1	$5,657	35	111	945
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
MN	<$1	<$1	$34	<$1	$380	38	37	271
WI	<$1	<$1	$19	<$1	$1,079	53	84	660
NY	<$1	<$1	<$1	<$1	$1,224	60	141	1,826
CT	<$1	<$1	$1	<$1	$1,608	11	10	100
NH	<$1	<$1	<$1	<$1	$7	14	20	282
MA	<$1	<$1	$142	<$1	$975	16	53	174
MI	<$1	<$1	$31	<$1	$790	50	38	239
RI	<$1	<$1	<$1	<$1	<$1	4	4	27
NJ	<$1	<$1	<$1	<$1	$1,324	34	90	638
PA	<$1	<$1	<$1	<$1	$24,358	39	126	930
WV	<$1	<$1	<$1	<$1	$989	4	12	36
SD	<$1	<$1	<$1	<$1	<$1	1 ⚠ thin data	1	1