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 Syrup REPACK
Low
$24
Average
$82
Median
$82
High
$141
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northwest Hospital LLC Tucson, AZ | $24 | $24 | — | — | — | $3 – $24 |
| 2 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $141 | $141 | — | — | — | $24 – $141 |
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