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 10 MG/ML ORAL SYRP
Morgan City, LA
See all hospitals reporting HCPCS S0104 →Price type
Ochsner Morgan City Llc’s median price of $4 is 104% above the median hospital's median price ($2), higher than 75% of the 845 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: 10 payers, 12 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 | Humana all payor other · outpatient | $3 | $3 | $1 | 16% | — | $3 – $4 |
| 3 | UnitedHealthcare all payor other · outpatient | $3 | $3 | $1 | 16% | — | $3 – $4 |
| 4 | Aetna Better Health all payor other · outpatient | $3 | $3 | $1 | 16% | — | $3 – $4 |
| 5 | Amerihealth Caritas all payor other · outpatient | $3 | $3 | $1 | 16% | — | $3 – $4 |
| 6 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $1 | 16% | — | $5 – $7 |
| 7 | Bcbs La all payor other · outpatient | $13 | $13 | $2 | 16% | — | $11 – $15 |
| 8 | MultiPlan all payor other · outpatient | $15 | $15 | $2 | 16% | — | $12 – $17 |
| 9 | First Health all payor percent of total billed charges · outpatientfrom % of charges | $17 | $17 | $3 | 16% | — | $14 – $20 |
| 10 | Aetna all payor other · outpatient | $16 | $17 | $5 | 31% | — | $11 – $25 |
| 11 | Cigna all payor other · outpatient | $19 | $19 | $3 | 16% | — | $16 – $22 |
| 12 | Optum all payor other · outpatient | $25 | $25 | $4 | 16% | — | $21 – $29 |
Last updated: Apr 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.