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 10-100 MG/5 ML ORAL SYRP
Reported by 4 hospitals in the network under the other methodology.
Based on 2–20 billing samples across every hospital reporting.
Low
$3
Average
$4
Median
$4
High
$7
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | 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 | Norton Hospitals INC | Louisville, KY | $7 | $7 | — | 2–20 | $0 | $7 |
| 2 | University Health Shreveport, Llc | Shreveport, LA | $2 | $3 | $2 | — | $2 | $6 |
| 3 | Brfhh Monroe, Llc | Monroe, LA | $1 | $3 | $2 | — | $1 | $6 |
| 4 | Lafayette General Medical Center Inc | Lafayette, LA | $3 | $5 | $4 | — | $3 | $15 |
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