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
ZIDOVUDIN 10MG/ML LIQ PO
CHESTERFIELD, VA
See all hospitals reporting HCPCS S0104 →Price type
Chippenham Hospital’s median price of $64 is 2837% above the median hospital's median price ($2), higher than 97% of the 842 hospitals reporting HCPCS S0104. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 7 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna ifp fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Cigna hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Cigna ppo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Aetna mgmcr percent of total billed charges · outpatientfrom % of charges | $15 | $18 | $6 | 34% | — | $12 – $26 |
| 5 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $21 | $24 | $8 | 34% | — | $16 – $36 |
| 6 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $45 | $53 | $18 | 34% | — | $35 – $77 |
| 7 | MultiPlan phcs percent of total billed charges · outpatientfrom % of charges | $91 | $105 | $36 | 34% | — | $70 – $155 |
Last updated: Mar 1, 2026
See Zidovudine 100 mg oral tablet pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.