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 Louisiana

Detailed hospital-level pricing for procedure code S0109 across Louisiana. 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 Louisiana

State Average: $19

Hospital Address Code Price Last Updated
Rapides Regional Medical Center 211 4Th St, Alexandria S0104 $19 [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.