Ondansetron injection at Mercy Hospital Northwest Arkansas. CPT J2405.
What Mercy Hospital Northwest Arkansas publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$0.79cash price (self-pay)
$11.00list price
$0.18–$617range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicaid Contracted [320009] | Hb Rogr Ok Managed Medicaid | $0.18 |
| Medicaid [20240] | Hb Rogr Oklahoma Medicaid | $0.18 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Rogr Ok Man | $0.18 |
| Humana Medicaid Contracted [320486] | Hb Rogr Ok Managed Medicaid | $0.18 |
| Health Choice Contracted [320166] | Hb Rogr Oklahoma State And Educati | $0.20 |
| Mc Anthem [20455] | Hb Rogr Blue Cross | $0.20 |
| Blue Cross And Blue Shield [20053] | Hb Rogr Blue Cross | $0.20 |
| Blue Cross And Blue Shield [20053] | Hb Rogr BCBS Exchange | $0.20 |
| Usable Contracted [320409] | Hb Rogr Blue Cross | $0.20 |
| Blue Cross Ar Apc Contracted [320300] | Hb Rogr Blue Cross | $0.20 |
| Cigna Healthcare Contracted [320071] | Hb Rogr Cigna | $0.32 |
| Aetna Contracted [320008] | Hb Rogr Coventry/Aetna | $0.60 |
| Aetna [20008] | Hb Rogr Coventry/Aetna | $0.60 |
| First Health Contracted [320128] | Hb Rogr First Health/Aetna | $0.68 |
| Yuzu Health Contracted [320521] | Hb Rogr Dec Level Health - New 01.01 | $3.85 |
| Edison Health Solutions Contracted [320502] | Hb Rogr Dec Woodard | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Schaefer Qcg | $3.85 |
| Show-Me Health Administrators Contracted [320483] | Hb Ftsm Rogr Dec A | $5.50 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Show Me | $5.50 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Town And Coiuntr | $5.50 |
| Ebms Contracted [320493] | Hb Rogr Crader | $6.60 |
| REFLECT HEALTH CONTRACTED [320492] | HB ROGR DEC WWWood Products | $6.60 |
| Imagine 360 Contracted [320494] | Hb Ftsm Rogr Dec Robinson Constructi | $6.60 |
| Municipal Health Plan Contracted [320271] | Hb Rogr Municipal Health B | $6.60 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Herman | $6.60 |
| Mercy Benefit Admin Contracted [320251] | Hb Rogr Dec Quiktrip Co | $6.60 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Rogr Dec Easter Seal | $6.60 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Rogr Dec City Of Jac | $6.60 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Rogr Cah Dec Sapaugh | $6.60 |
| Preferred Health Plan Contracted [320522] | Hb Rogr Network Affiliatio | $7.15 |
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