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
Edina, MN
See all hospitals reporting HCPCS S0104 →Price type
Fairview Health Services’s median price of $2 is 13% above the median hospital's median price ($2), higher than 56% 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: 2 payers, 16 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicare advantage non-snp fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Medica msho/medicare advantage snp fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Medica managed medicaid/accessability fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Medica msho/medicare advantage snp fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 5 | UnitedHealthcare commercial fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 6 | UnitedHealthcare core fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Medica bold fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Medica vantage self insured fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Medica city of st. paul/essential-uplan fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Medica individual and family business except aco fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 11 | Medica choice fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 12 | Medica bold fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Medica city of st. paul/essential-uplan fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Medica vantage self insured fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Medica individual and family business except aco fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 16 | Medica choice fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
Last updated: Feb 6, 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.