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 Oral Sol
Prices here combine facility and professional fees. See them separately →Experimental
Low
$3
Average
$16
Median
$6
High
$80
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 24 hospitals; the 90th percentile is 17.8× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Pella Regional Health Center Pella, IA | $75 | $75 | — | — | — | $75 – $75 |
| 2 | Nationwide Children's Hospital Columbus, OH | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Rush Medical Foundation Meridian, MS | $8 | $8 | $2 | 22% | — | $6 – $12 |
| 4 | Inova Alexandria Hospital Alexandria, VA | $6 | $6 | $0 | 1% | — | $6 – $6 |
| 5 | Lafayette General Medical Center Inc Lafayette, LA | $7 | $9 | $6 | 75% | — | $3 – $24 |
| 6 | Ochsner Clinic Foundation Orleans, LA | $5 | $4 | $3 | 67% | — | $2 – $11 |
| 7 | White Memorial Medical Center Angeles, CA | $46 | $46 | $12 | 26% | — | $34 – $58 |
| 8 | Ochsner American Legion Hospital, LLC Jennings, LA | $5 | $6 | $2 | 28% | — | $3 – $11 |
| 9 | Inova Loudoun Hospital Leesburg, VA | $6 | $6 | $0 | 1% | — | $6 – $6 |
| 10 | Inova Fair Oaks Hospital Fairfax, VA | $6 | $6 | $0 | 1% | — | $6 – $6 |
Ask Claude or any MCP client for HCPCS S0104 pricing at a specific hospital — see how to connect.