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
00121-0504-04 - acetaminophen-codeine 120 mg-12 mg
Low
$8
Average
$454
Median
$454
High
$900
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $8 | $8 | $7 | 84% | — | $1 – $78 |
| 2 | East Georgia Regional Medical Center LLC Statesboro, GA | $900 | $900 | — | — | — | $5 – $900 |
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