Ondansetron injection at Adventist Health Clearlake Hospital. CPT J2405.

What Adventist Health Clearlake Hospital publishes for this service, straight from its standard-charges file, last updated July 29, 2026.

Outpatient / ER

$7.56cash price (self-pay)

$34.04list price

$0.25–$53.00range insurers pay

Insurance plan	Negotiated rate
UHC All Payer - All Other Plans \| UHC All Payer - All Other Plans	$0.25
UHC Jll \| UHC Jll	$0.25
Blue Shield Mcr Adv \| Blue Shield Mcr Adv	$7.15
Kaiser Mcr Adv \| Kaiser Mcr Adv	$7.15
Tricare Blue Shield- All Plans \| Tricare Blue Shield- All Plans	$7.15
Blue Cross Mcr Adv \| Blue Cross Mcr Adv	$7.43
UHC Mcr Adv \| UHC Mcr Adv	$7.86
Blue Cross Exchange \| Blue Cross Exchange	$12.04
Blue Cross Non-Mcs \| Blue Cross Non-Mcs	$13.37
Ah Employee Health Plan - All Plans \| Ah Employee Health Plan - All Pl	$14.30
Blue Cross Mcs - All Other Plans \| Blue Cross Mcs - All Other Plans	$16.02
Aetna- All Plans \| Aetna- All Plans	$25.43
Western Growers- All Plans \| Western Growers- All Plans	$25.53
Blue Shield Epn - All Other Plans \| Blue Shield Epn - All Other Plans	$26.14
Blue Shield Non-Epn \| Blue Shield Non-Epn	$26.14
First Health- All Plans \| First Health- All Plans	$27.23
Healthnet- All Plans \| Healthnet- All Plans	$27.91
Foundation- All Plans \| Foundation- All Plans	$28.93
Health Mgmt Network- All Plans \| Health Mgmt Network- All Plans	$28.93
Humana- All Plans \| Humana- All Plans	$28.93
Phcs- All Plans \| Phcs- All Plans	$28.93
Cigna- All Plans \| Cigna- All Plans	$30.63
Kaiser- All Other Plans \| Kaiser- All Other Plans	$30.63
Three Rivers Provider Network- All Plans \| Three Rivers Provider Netwo	$30.63
Interplan- All Plans \| Interplan- All Plans	$30.63
Bc Managed Mcal \| Bc Managed Mcal	$34.04
Medi-Cal \| Medi-Cal	$34.04
Partnership Mcal - All Plans \| Partnership Mcal - All Plans	$34.04

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