Ondansetron injection at Dominican Hospital. CPT J2405.

What Dominican Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$11.70cash price (self-pay)

$26.00list price

$0.13–$22.10range insurers pay

Insurance plan	Negotiated rate
Blue Shield CA \| Commercial\|DHMF	$0.13
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\|ACO Trio	$0.29
Blue Shield CA \| Commercial\|All Other Plans	$0.29
Blue Shield CA \| Commercial\|Exchange	$0.29
Health Net \| Commercial\|Community Care	$0.37
Aetna \| Commercial\|HMO	$0.46
Aetna \| Commercial\|PPO	$0.47
Health Net \| Commercial\|Care Product	$0.47
Health Net \| Commercial\|Blue Gold	$0.48
Health Net \| Commercial\|All Other Plans	$0.53
Cigna \| Commercial\|LocalPlus	$2.19
Cigna \| Commercial\|All Other Plans	$2.33
COSC Psych \| Medicaid\|All Plans	$4.55
Central California Alliance for Health \| Medicaid\|All Plans	$4.55
Health Net \| Medicaid\|< 21	$6.89
Health Net \| Medicaid\|> 21	$6.89
BCBS - Anthem \| Commercial\|All Other Plans	$11.03
BCBS - Anthem \| Commercial\|MCS	$15.41
Kaiser \| Commercial\|All Plans	$16.90
Western Growers \| Commercial\|All Plans	$17.68
Healthsmart \| Commercial\|All Plans	$20.80
First Health \| Commercial\|All Plans	$22.10
Multiplan \| Commercial\|All Plans	$22.10

$11.70cash price (self-pay)

$26.00list price

$20.80–$22.10range insurers pay

Insurance plan	Negotiated rate
Healthsmart \| Commercial\|All Plans	$20.80
First Health \| Commercial\|All Plans	$22.10
Multiplan \| Commercial\|All Plans	$22.10

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