πŸ“‹ Medical Procedure Code

S0104

Zidovudine, oral, 100 mg
Other Descriptions:
Zidovudine, oral, 100 mg
Related codes:
Code: S0106
Description: Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets
HCPCS Category: Temporary national codes (non-Medicare) codes
Code: S0107
Inj, omalizumab 25 mg
Code: S0108
Description: Mercaptopurine, oral, 50 mg
HCPCS Category: Temporary national codes (non-Medicare) codes
Code: S0109
Description: Methadone, oral, 5 mg
HCPCS Category: Temporary national codes (non-Medicare) codes

Hospital Prices in Illinois

Detailed hospital-level pricing for procedure code S0109 across Illinois. Compare prices from different hospitals to understand cost variations in your area.

πŸ—ΊοΈ Hospital Locations Map

πŸ’‘ Tip: Click on any marker to see hospital details. Colors indicate relative pricing - red shows higher prices, green shows lower prices.

πŸ“Š Hospital Prices in Illinois

State Average: $34

Hospital Address Code Price Last Updated
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook S0104 $21 [source] 4 years ago
Ascension Saint Mary - Kankakee 500 W Court St, Kankakee S0104 $28 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village S0104 $36 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale S0104 $37 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange S0104 $38 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights S0104 $38 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, S0104 $38 [source] 4 years ago

ℹ️ About This Data

The prices shown are from hospital chargemaster files, which represent the list prices hospitals charge before insurance negotiations or discounts. Your actual cost may be different depending on your insurance coverage, deductibles, and negotiated rates. Always check with your insurance provider and hospital for accurate cost estimates.


ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR Β§180.