Ondansetron injection at BSA Hospital. CPT J2405.
What BSA Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$0.55cash price (self-pay)
$19.00list price
$0.20–$31.45range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicaid [1165] | BCBS Medicaid [116504] | $1.78 |
| BCBS Medicaid [1165] | BCBS TX Medicaid Chip [116506] | $1.78 |
| Tdcj Texas Department Of Criminal Justice [1975] | Tdcj Texas Dept Of | $1.78 |
| Star Superior Medicaid [1945] | Superior Chip [194501] | $2.01 |
| Star Superior Medicaid [1945] | Superior Star Medicaid [194500] | $5.66 |
| Umr - Ardent Employee [2036] | Umr - Ardent Employee [203601] | $6.33 |
| Insurance Management Services (Ims) [1540] | Ims Bsa Employees [154001 | $6.65 |
| Horizon Nj Health [3635] | Horizon Nj Health [363500] | $7.41 |
| Healthscope Benefits [2290] | Healthscope Benefits [229000] | $7.41 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $7.41 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $7.41 |
| Lucent Health [6000] | Lucent Health [600000] | $7.41 |
| Insurance Management Services (Ims) [1540] | Ims Randall County [15400 | $7.98 |
| Insurance Management Services (Ims) [1540] | Ims In Network [154002] | $8.55 |
| Sana Benefits [5005] | Sana Benefits [500500] | $9.50 |
| Nreca [1735] | Nreca [173500] | $11.65 |
| Rh Administrators [1885] | Rh Administrators [188500] | $13.30 |
| Pan American Life Insurance Co [1770] | Pan American Life [177000] | $13.30 |
| Northamerica Administrators [1725] | Northamerica Administrators [1725 | $13.30 |
| Principal Mutual Life [1845] | Principal Colorado Claims [184500] | $13.30 |
| Phoenix Home Life [1785] | Phoenix Home Life [178500] | $13.30 |
| Phcs [1780] | Phcs Multiplan [178000] | $13.30 |
| Phcs [1780] | Freedom Life [178009] | $13.30 |
| Guardian [1465] | Guardian [146500] | $13.30 |
| Celtic Life [1220] | Celtic Life [122000] | $13.30 |
| Alieracare [2935] | Trinity Healthshare [293500] | $13.30 |
| Federated Mutual [1365] | Federated Mutual [136500] | $13.30 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $13.79 |
| Healthpartners [1500] | Healthpartners [150000] | $13.79 |
| Meritain Health [1655] | Meritain Health [165500] | $14.25 |
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