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
SAN ANTONIO, TX
See all hospitals reporting HCPCS S0104 →Price type
Methodist Hospital’s median price of $2 is 15% below the median hospital's median price ($2), higher than 41% of the 839 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: 7 payers, 20 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 | First Health chip percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 2 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 3 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Cigna newbusinessnetwork fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 15 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 16 | Cigna hmo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 17 | Cigna openaccessplus fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 18 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 19 | Cigna ppo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 20 | Optum mcd percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
Last updated: May 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.