Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION
Low
$1
Average
$54
Median
$5
High
$393
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 122.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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73 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 6 | $2 | $1 | $0 | 10% | — | $1 – $2 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 3 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 5 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | $22 | 98% | — | $0 – $45 |
| 8 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 9 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 11 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 16 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 17 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 18 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 19 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | $58 | 89% | — | $7 – $123 |
| 20 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | $58 | 89% | — | $7 – $123 |
| 21 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $117 | $117 | $29 | 25% | — | $88 – $146 |
| 22 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $118 | $118 | $30 | 25% | — | $89 – $148 |
| 23 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $36 | $81 | $55 | 68% | — | $35 – $152 |
| 24 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 25 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS J3485 · Snapshot 20261111T120946Z-9134e7f7