๐Ÿ“‹ 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 Texas

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

๐Ÿ—บ๏ธ Hospital Locations Map

๐Ÿ’ก Tip: Click on any marker to see hospital details. Colors indicate relative pricing - red shows higher prices, green shows lower prices.

๐Ÿ“Š Hospital Prices in Texas

State Average: $39

Hospital Address Code Price Last Updated
Hca Houston Healthcare Southeast 4000 Spencer Hwy, Pasadena S0104 $4 [source] 1 day ago
Hca Houston Healthcare Tomball 605 Holderrieth Blvd, Tomball S0104 $7 [source] 1 day ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco S0104 $8 [source] 4 years ago
Medical City Plano 3901 W 15Th St, Plano S0104 $11 [source] 1 day ago
Hca Houston Healthcare West 12141 Richmond Ave, Houston S0104 $12 [source] 1 day ago
Hca Houston Healthcare North Cypress 21216 Northwest Fwy, Cypress S0104 $12 [source] 1 day ago
Hca Houston Healthcare Northwest 710 Cypress Creek Pkwy, Houston S0104 $18 [source] 1 day ago
Medical City Healthcare 13155 Noel Rd. Suite 200, Dallas S0104 $19 [source] 4 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston S0104 $23 [source] 4 years ago
The Womanโ€™s Hospital Of Texas 7600 Fannin, Houston S0104 $23 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth S0104 $24 [source] 1 day ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills S0104 $25 [source] 1 day ago
Medical City Mckinney 4500 Medical Center Dr, Mckinney S0104 $37 [source] 1 day ago
Hca Houston Healthcare Medical Center 1313 Hermann Dr, Houston S0104 $48 [source] 1 day ago
Hca Houston Healthcare Conroe 504 Medical Center Blvd, Conroe S0104 $56 [source] 1 day ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas S0104 $63 [source] 4 years ago
Hca Houston Healthcare Clear Lake 500 Medical Center Blvd, Webster S0104 $70 [source] 1 day ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving S0104 $72 [source] 1 day ago
Hca Houston Healthcare Kingwood 22999 Highway 59 N, Humble S0104 $86 [source] 1 day ago
Medical City Arlington 3301 Matlock Rd, Arlington S0104 $128 [source] 1 day ago
Medical City Fort Worth 900 8Th Ave, Fort Worth S0104 $999,999,999 [source] 1 day ago
Medical City Decatur 609 Medical Center Dr, Decatur S0104 $999,999,999 [source] 1 day ago
Medical City Weatherford 713 East Anderson Street, Weatherford S0104 $999,999,999 [source] 1 day ago
Medical City Denton 3535 S I-35 E, Corinth S0104 $999,999,999 [source] 1 day ago
Medical City Lewisville 500 W Main St, Lewisville S0104 $999,999,999 [source] 1 day ago

โ„น๏ธ 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 ยง180.