NDC 00121-0504-40
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
acetaminophen-codeine 120 mg-12 mg/5 mL Soln 5 mL
Low
$25
Average
$27
Median
$27
High
$29
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Allina Health Systems River Falls, WI | $25 | $25 | $1 | 3% | — | $11 – $56 |
| 2 | Conway Regional Medical Center Conway, AR | $29 | $29 | $11 | 38% | — | $8 – $40 |
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