NDC 406048462
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
00406-0484-62 - acetaminophen-codeine 300 mg-30 mg
Reported by 14 hospitals in the network under the per diem methodology.
Low
$0
Average
$1.9k
Median
$482
High
$5.0k
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Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 14 hospitals; the 90th percentile is 3980.6× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC | Peru, IN | $2 | $2 | — | — | $1 | $8 |
| 2 | Victoria of Texas LP | Victoria, TX | $1 | $2 | $1 | — | $1 | $22 |
| 3 | Victoria of Texas LP | Victoria, TX | $1 | $2 | $1 | — | $1 | $22 |
| 4 | Affinity Hospital LLC | Birmingham, AL | $13 | $13 | — | — | $7 | $43 |
| 5 | Key West HMA LLC | Key West, FL | $64 | $64 | $2 | — | $5 | $65 |
| 6 | East Georgia Regional Medical Center LLC | Statesboro, GA | $900 | $900 | — | — | $6 | $900 |
| 7 | Laredo Texas Hospital Company LP | Laredo, TX | $0 | $0 | $0 | — | $0 | $7 |
| 8 | Longview Medical Center LP | Longview, TX | $1 | $1 | $0 | — | $1 | $18 |
| 9 | Hoopeston Community Memorial Hospital | Hoopeston, IL | $4.0k | $4.0k | — | — | $61 | $4.0k |
| 10 | The Queens Medical Center | Honolulu, HI | $4.9k | $5.0k | $229 | — | $4.8k | $5.3k |
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