Zidovudine 100 mg oral tablet at Ochsner Bayou Llc

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 SYRP

Raceland, LA

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Pricing by billing methodology

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How this price compares nationally

Ochsner Bayou Llc’s median price of $2 is about the same as the median hospital's median price ($2), higher than 50% of the 842 hospitals reporting HCPCS S0104. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS S0104 at Ochsner Bayou Llc

Negotiated rates from the hospital’s own file: 11 payers, 13 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	Bcbs La all payor fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
2	Tricare all payor percent of total billed charges · outpatientfrom % of charges	$2	$2	$0	5%	—	$2 – $2
3	UnitedHealthcare all payor other · outpatient	$2	$2	—	—	—	$2 – $2
4	Aetna Better Health all payor other · outpatient	$2	$2	—	—	—	$2 – $2
5	Amerihealth Caritas all payor other · outpatient	$2	$2	—	—	—	$2 – $2
6	Humana all payor other · outpatient	$2	$2	$0	2%	—	$2 – $2
7	Bcbs La all payor other · outpatient	$2	$2	—	—	—	$2 – $2
8	Optum all payor other · outpatient	$2	$2	—	—	—	$2 – $2
9	UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges	$3	$3	—	—	—	$3 – $3
10	First Health all payor percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
11	MultiPlan all payor percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
12	Aetna all payor other · outpatient	$6	$6	—	—	—	$6 – $6
13	Cigna all payor other · outpatient	$7	$7	—	—	—	$7 – $7

Last updated: Apr 1, 2026

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