Zidovudine 100 mg oral tablet at MVHS, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ZIDOVUDINE 10 MG/ML ORAL SYRUP

Utica, NY

See all hospitals reporting HCPCS S0104 →

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How this price compares nationally

MVHS, Inc.’s median price of $208 is 9432% above the median hospital's median price ($2), higher than 100% of the 839 hospitals reporting HCPCS S0104. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS S0104 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 7 payers, 10 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	Excellus excellus bcbs medicaid fee schedule · both	$36	$36	—	—	—	$36 – $36
2	Excellus excellus bcbs medicaid hmo fee schedule · both	$36	$36	—	—	—	$36 – $36
3	UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges	$129	$129	$7	6%	—	$122 – $137
4	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$193	$193	$11	6%	—	$182 – $204
5	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$220	$220	$12	6%	—	$208 – $233
6	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$220	$220	$12	6%	—	$208 – $233
7	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$220	$220	$12	6%	—	$208 – $233
8	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$220	$220	$12	6%	—	$208 – $233
9	Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges	$229	$229	$13	6%	—	$216 – $242
10	Humana humana hmo/pos percent of total billed charges · bothfrom % of charges	$242	$242	$14	6%	—	$229 – $256

Last updated: Aug 7, 2026

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