NDC 121177540
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
Guaifenesin 100 mg-Codeine 10 mg per 5 mL soln R
Reported by 2 hospitals in the network under the other methodology.
Low
$4
Average
$8
Median
$8
High
$11
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | USC Arcadia Hospital Arcadia, CA | $11 | $11 | $1 | 13% | 1–10 | $7 – $20 |
| 2 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $2 | $4 | $4 | 85% | — | $2 – $13 |
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