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
00121-0775-16 - codeine-guaiFENesin 10 mg-100 mg/5
Low
$4
Average
$38
Median
$9
High
$103
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Joseph Health System, LLC Wayne, IN | $4 | $4 | — | — | — | $1 – $4 |
| 2 | Northwest Hospital LLC Tucson, AZ | $7 | $9 | $3 | 32% | — | $3 – $24 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $141 | $103 | $48 | 47% | — | $16 – $141 |
Ask Claude or any MCP client for NDC 121077516 pricing at a specific hospital — see how to connect.