NDC 69339-0149-19
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
dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup
Reported by 4 hospitals in the network under the case rate methodology.
Low
$258
Average
$2.0k
Median
$353
High
$6.9k
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | 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 | Baylor University Medical Center | Dallas, TX | $6.9k | $6.9k | $556 | — | $2 | $7.4k |
| 2 | OU Health - University of Oklahoma Medical Center | Oklahoma City, OK | $448 | $448 | — | — | $448 | $448 |
| 3 | The Queens Medical Center | Ewa Beach, HI | $258 | $258 | — | — | $258 | $258 |
| 4 | The Queens Medical Center | Wahiawa, HI | $258 | $258 | — | — | $258 | $258 |
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