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
codeine-guaiFENesin 10 mg-100 mg/5 mL Oral Soln 5 mL [CITY]
Reported by 18 hospitals in the network under the percent of billed charges methodology.
Low
$4
Average
$12
Median
$10
High
$24
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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. 18 hospitals; the 90th percentile is 3.2× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Tri-City Medical Center Oceanside, CA | $13 | $16 | $7 | 45% | 460–478 | $5 – $29 |
| 2 | Sanford Fargo Medical Center Fargo, ND | $6 | $6 | $2 | 33% | — | $2 – $8 |
| 3 | Sanford Tracy Hospital Tracy, MN | $8 | $7 | $2 | 27% | — | $2 – $9 |
| 4 | St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital JUNCTION, CO | $24 | $22 | $5 | 23% | — | $10 – $28 |
| 5 | USC Arcadia Hospital Arcadia, CA | $16 | $15 | $4 | 27% | — | $7 – $20 |
| 6 | Western Regional Medical Center, Inc. Goodyear, AZ | $3 | $4 | $1 | 20% | — | $3 – $10 |
| 7 | Allina Health Systems Paul, MN | $28 | $24 | $10 | 40% | — | $0 – $41 |
| 8 | Allina Health Systems Minneapolis, MN | $25 | $23 | $9 | 39% | — | $0 – $35 |
| 9 | The Carle Foundation Hospital Urbana, IL | $11 | $10 | $6 | 56% | — | $2 – $18 |
| 10 | Pekin Memorial Hospital Pekin, IL | $8 | $8 | $3 | 32% | — | $5 – $14 |
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