NDC 121077516
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
codeine-guaiFENesin 10 mg-100 mg/5 mL Oral Soln 5 mL [CITY]
Based on 460–478 billing samples across every hospital reporting.
Low
$2
Average
$110
Median
$108
High
$703
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 18 hospitals; the 90th percentile is 48.9× 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 | $6 | $8 | $4 | 45% | 460–478 | $3 – $14 |
| 2 | IOM Health System LP Fort Wayne, IN | $2 | $2 | $1 | 37% | — | $1 – $3 |
| 3 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $3 | $3 | $1 | 35% | — | $2 – $7 |
| 4 | St. Joseph Health System, LLC Wayne, IN | $2 | $2 | $1 | 37% | — | $1 – $4 |
| 5 | Northwest Hospital LLC Tucson, AZ | $7 | $10 | $7 | 65% | — | $3 – $24 |
| 6 | Sanford Fargo Medical Center Fargo, ND | $8 | $8 | $3 | 34% | — | $3 – $10 |
| 7 | Sanford Mayville Medical Center Mayville, ND | $4 | $3 | $1 | 24% | — | $1 – $4 |
| 8 | Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital DENVER, CO | $132 | $130 | $56 | 43% | — | $43 – $231 |
| 9 | St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital JUNCTION, CO | $113 | $100 | $23 | 23% | — | $47 – $131 |
| 10 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $92 | $94 | $41 | 44% | — | $16 – $141 |
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