NDC 121050404
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 Liquid REP
Low
$20
Average
$58
Median
$77
High
$77
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Oro Valley Hospital LLC Tucson, AZ | $77 | $77 | $3 | 4% | — | $12 – $81 |
| 2 | Northwest Hospital LLC Tucson, AZ | $77 | $77 | $3 | 4% | — | $12 – $81 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $20 | $20 | — | — | — | $3 – $20 |
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