Ondansetron injection at Arroyo Grande Hospital. CPT J2405.
What Arroyo Grande Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$11.13cash price (self-pay)
$40.00list price
$0.13–$52.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Commercial|Non-Options PPO | $0.13 |
| United | Commercial|All Other Plans | $0.15 |
| United | Commercial|HMO | $0.15 |
| United | Commercial|Options PPO | $0.17 |
| Blue Shield CA | Commercial|Exchange | $0.29 |
| Blue Shield CA | Commercial|FFS | $0.29 |
| Health Net | Commercial|Care Product | $0.54 |
| Health Net | Commercial|FFS | $0.61 |
| CenCal | Medicaid|< 21 | $4.55 |
| CenCal | Medicaid|> 21 | $4.55 |
| Health Net | Medicaid|< 21 | $6.89 |
| Health Net | Medicaid|> 21 | $6.89 |
| BCBS - Anthem | Commercial|Non-MCS | $13.30 |
| BCBS - Anthem | Commercial|MCS | $17.84 |
| Cigna | Commercial|All Other Plans | $18.00 |
| Cigna | Commercial|PPO | $18.00 |
| Western Growers | Commercial|All Plans | $20.00 |
| Kaiser | Commercial|All Plans | $25.20 |
| First Health | Commercial|All Plans | $33.60 |
| Healthsmart | Commercial|All Plans | $36.80 |
| MultiPlan | Commercial|All Plans | $39.20 |
Inpatient
$11.13cash price (self-pay)
$40.00list price
$16.38–$52.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial|All Plans | $25.20 |
| First Health | Commercial|All Plans | $33.60 |
| Healthsmart | Commercial|All Plans | $36.80 |
| MultiPlan | Commercial|All Plans | $39.20 |
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