Ondansetron injection at Mercy Orthopedic Hospital Fort Smith. CPT J2405.
What Mercy Orthopedic Hospital Fort Smith publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$0.71cash price (self-pay)
$11.00list price
$0.18–$617range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Ftsm Ok Man | $0.18 |
| Humana Medicaid Contracted [320486] | Hb Ftsm Ok Managed Medicaid | $0.18 |
| Aetna Medicaid Contracted [320009] | Hb Ftsm Ok Managed Medicaid | $0.18 |
| Medicaid [20240] | Hb Ftsm Ok Medicaid | $0.18 |
| Usable Contracted [320409] | Hb Ftsm Blue Cross | $0.20 |
| Health Choice Contracted [320166] | Hb Ftsm Oklahoma State And Educati | $0.20 |
| Mc Anthem [20455] | Hb Ftsm Blue Cross | $0.20 |
| Blue Cross And Blue Shield [20053] | Hb Ftsm Blue Cross | $0.20 |
| Blue Cross And Blue Shield [20053] | Hb Ftsm BCBS Exchange | $0.20 |
| Cigna Healthcare Contracted [320071] | Hb Ftsm Cigna | $0.32 |
| Aetna Contracted [320008] | Hb Ftsm Coventry/Aetna | $0.60 |
| Aetna [20008] | Hb Ftsm Coventry/Aetna | $0.60 |
| First Health Contracted [320128] | Hb Ftsm First Health_ccn | $0.68 |
| Medicaid [20240] | Hb Ftsm Mo Medicaid | $2.20 |
| MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $2.42 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Tall Tree | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Schaefer Qcg | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Show Me | $5.50 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Town And Country | $5.50 |
| Ebms [20493] | Hb Ftsm Crader | $6.60 |
| Healthlink Contracted [320179] | Hb Ftsm Rogr Cah Dec Sapaugh | $6.60 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Herman | $6.60 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Quiktrip Co | $6.60 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Rogr Dec Easter Seal | $6.60 |
| Workers Comp [20426] | Hb Ftsm Work Comp Aetna/Coventry | $7.15 |
| Personify Health Contracted [320051] | Hb Ftsm Net Affiliation | $7.15 |
| Healthlink Contracted [320179] | Hb Ftsm Net Affiliation | $7.15 |
| Employers Health Coalition Contracted [320116] | Hb Ftsm Ehc Non Exclu | $8.64 |
| Private Health Care Systems [20320] | Hb Ftsm Phcs | $8.80 |
| Multiplan [20270] | Hb Ftsm,Wldar,Ozkar,Prsar Multi Plan | $9.35 |
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