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, oral, 100 mg
Low
$0
Average
$8
Median
$3
High
$115
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 3.9× 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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20 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $2 | 62% | — | $0 – $4 |
| 2 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $2 | $2 | 62% | — | $0 – $4 |
| 3 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $4 | $3 | 62% | — | $1 – $7 |
| 5 | CATHOLIC MEDICAL CENTER MANCHESTER, NH percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | $0 | 2% | — | $9 – $10 |
| 8 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $2 | 62% | — | $0 – $4 |
| 10 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 11 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $2 | $2 | $0 | 1% | — | $2 – $2 |
| 12 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 13 | OCHSNER BAYOU LLC Raceland, LA other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | OCHSNER MORGAN CITY LLC Morgan City, LA other · outpatient | 1 | $3 | $3 | $1 | 16% | — | $3 – $4 |
| 17 | Ochsner American Legion Hospital, LLC Jennings, LA other · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | St Tammany Hosptial Service District No 2 Slidell, LA other · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 19 | St Tammany Hosptial Service District No 2 Slidell, LA other · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 20 | TRANSYLVANIA REGIONAL HOSPITAL Brevard, NC percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $2 | 62% | — | $0 – $5 |
← Payers reporting HCPCS S0104 · Snapshot 20261112T181611Z-3fa9fb76