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 Oral Liq Bulk [CITY]
Low
$3
Average
$12
Median
$7
High
$36
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 22 hospitals; the 90th percentile is 10.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Tri-City Medical Center Oceanside, CA | $7 | $8 | $4 | 45% | 460–478 | $3 – $15 |
| 2 | IOM Health System LP Fort Wayne, IN | $6 | $10 | $10 | 96% | — | $1 – $32 |
| 3 | Bluffton Health System LLC Bluffton, IN | $13 | $27 | $26 | 97% | — | $1 – $73 |
| 4 | Dukes Health System LLC Peru, IN | $16 | $25 | $23 | 93% | — | $1 – $78 |
| 5 | Warsaw Health System LLC Warsaw, IN | $14 | $31 | $31 | 98% | — | $1 – $94 |
| 6 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $14 | $25 | $25 | 99% | — | $1 – $89 |
| 7 | St. Joseph Health System, LLC Wayne, IN | $7 | $14 | $14 | 97% | — | $1 – $42 |
| 8 | Dupont Hospital LLC Wayne, IN | $4 | $7 | $7 | 93% | — | $1 – $21 |
| 9 | Oro Valley Hospital LLC Tucson, AZ | $31 | $36 | $22 | 61% | — | $12 – $81 |
| 10 | Northwest Hospital LLC Tucson, AZ | $24 | $32 | $21 | 66% | — | $12 – $81 |
Ask Claude or any MCP client for NDC 121050404 pricing at a specific hospital — see how to connect.