Ondansetron injection at Northwest Medical Center. CPT J2405.
What Northwest Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3.12cash price (self-pay)
$13.02list price
$0.09–$13.02range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| APIPA Medicaid AZ | APIPA Medicaid AZ | $0.09 |
| Medicaid | AZ Medicaid | $0.09 |
| Complete Health Medicaid AZ | Complete Health Medicaid AZ | $0.09 |
| Health Choice Medicaid AZ | Health Choice Medicaid AZ | $0.09 |
| Magellan | Magellan Medicaid AZ | $0.09 |
| Mercy Care Medicaid AZ | Mercy Care Medicaid AZ | $0.09 |
| NON PAR Medicaid AZ | NON PAR Medicaid AZ | $0.09 |
| Banner UFC Medicaid AZ | Banner UFC Medicaid AZ | $0.10 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1.95 |
| Aetna | Aetna ASBAIT | $2.34 |
| UHC Health Exchange | UHC HIX | $3.11 |
| Self Pay | Self Pay | $3.12 |
| Cigna LocalFlex | Cigna LocalFlex | $3.75 |
| Cigna | Cigna LocalPlus | $3.75 |
| United Healthcare | UHC Navigate | $3.75 |
| United Healthcare | UHC APA | $3.88 |
| Cigna | Cigna HMO | $3.91 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $3.91 |
| Aetna | Aetna IHS | $5.86 |
| Fresenius Health | NODE Fresenius MCR ADV | $5.86 |
| OptumHealth | OptumHealth Care Solutions | $6.51 |
| First Health Coventry | First Health Coventry | $6.84 |
| Coventry Medical Center | Coventry Work Comp AZ | $7.81 |
| Scan Health Plan | NODE Scan MCR ADV | $7.81 |
| Multiplan | Multiplan Complementary | $10.81 |
| Prime Health | Prime Health | $11.07 |
| HealthSmart | HealthSmart HPO | $11.72 |
| BCBS Az PPO HMO Nbr | BCBS Az PPO HMO Nbr | $13.02 |
| BCBS AZ | BCBS AZ Work Comp | $13.02 |
| BCBS PimaConnect | BCBS PimaConnect | $13.02 |
Inpatient
$4.69cash price (self-pay)
$13.02list price
$1.95–$11.72range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1.95 |
| Aetna | Aetna ASBAIT | $2.34 |
| Self Pay | Self Pay | $4.69 |
| Aetna | Aetna IHS | $5.86 |
| First Health Coventry | First Health Coventry | $6.84 |
| Coventry Medical Center | Coventry Work Comp AZ | $7.81 |
| Multiplan | Multiplan Complementary | $10.81 |
| Prime Health | Prime Health | $11.07 |
| HealthSmart | HealthSmart HPO | $11.72 |
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