What does code RX00121177540 cost?

Across the published hospital price files, the disclosed cash price for RX00121177540 ranges from $1.59 to $10.16. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

What is code RX00121177540?

RX00121177540 is the billing code hospitals use to identify "GUAIFENESIN-CODEINE SOLN 100-10 MG/5ML" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

RX00121177540

CDM

GUAIFENESIN-CODEINE SOLN 100-10 MG/5ML

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code RX00121177540 (GUAIFENESIN-CODEINE SOLN 100-10 MG/5ML) appears at 3 hospitals with disclosed cash prices from $1.59 to $10.16. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

Compare RX00121177540 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code RX00121177540 vary by about 6.4× across the 3 hospitals with disclosed prices here — from $1.59 to $10.16. Shopping around can matter.

Hospitals

Prices shown

$1.59

Lowest cash

$10.16

Highest cash

code RX00121177540 cash price3 disclosed · 3 hospitals

$1.59median ~$1.59$10.16

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$1.59 – $10.16

Mission Hills · 1 hospital$1.59
San Pedro · 1 hospital$1.59
Healdsburg · 1 hospital$10.16

3 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
GUAIFENESIN-CODEINE SOLN 100-10 MG/5ML Inpatient & outpatient	Healdsburg Hospital	RX00121177540 CDM	$19.93	$10.16	—	—
GUAIFENESIN-CODEINE SOLN 100-10 MG/5ML Inpatient & outpatient	Providence Holy Cross Medical Center	RX00121177540 CDM	$4.53	$1.59	—	—
GUAIFENESIN-CODEINE SOLN 100-10 MG/5ML Inpatient & outpatient	Providence Little Co of Mary Med Center San Pedro	RX00121177540 CDM	$4.53	$1.59	—	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish RX00121177540 prices

Open a hospital to see this code in the context of its full published prices.

Healdsburg Hospital Providence Holy Cross Medical Center Providence Little Co of Mary Med Center San Pedro

Code RX00121177540: frequently asked

What does code RX00121177540 cost?: Across the published hospital price files, the disclosed cash price for RX00121177540 ranges from $1.59 to $10.16. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code RX00121177540?: RX00121177540 is the billing code hospitals use to identify "GUAIFENESIN-CODEINE SOLN 100-10 MG/5ML" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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