Ondansetron injection at Lodi Memorial Hospital Association. CPT J2405.
What Lodi Memorial Hospital Association publishes for this service, straight from its standard-charges file, last updated August 2, 2026.
Outpatient / ER
$0.19cash price (self-pay)
$27.00list price
$0.10–$226range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna - All Plans | Aetna - All Plans | $0.20 |
| Hill Physicians Group - All Other Plans | Hill Physicians Group - All | $0.21 |
| Hill Physicians Group Mcare Prim | Hill Physicians Group Mcare Prim | $0.21 |
| Hill Physicians Group Mcare Pro | Hill Physicians Group Mcare Pro | $0.21 |
| UHC HMO | UHC HMO | $0.25 |
| UHC Jll | UHC Jll | $0.25 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1.15 |
| Cigna- All Plans | Cigna- All Plans | $2.48 |
| Blue Cross Exchange | Blue Cross Exchange | $3.16 |
| Blue Cross Non-Mcs - All Other Plans | Blue Cross Non-Mcs - All Other | $3.51 |
| Bc Mcal | Bc Mcal | $6.27 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $11.55 |
| Networks By Design- All Plans | Networks By Design- All Plans | $16.20 |
| Hp Mcal Pro Fee | Hp Mcal Pro Fee | $18.15 |
| Hp Healthy Kids Pro Fee | Hp Healthy Kids Pro Fee | $19.14 |
| Multiplan- All Plans | Multiplan- All Plans | $22.95 |
| Healthnet- All Other Plans | Healthnet- All Other Plans | $23.98 |
| Celtic Ins Company - All Plans | Celtic Ins Company - All Plans | $27.00 |
| Kaiser Mcal | Kaiser Mcal | $27.00 |
| Medi-Cal | Medi-Cal | $27.00 |
| Western Growers- All Plans | Western Growers- All Plans | $27.00 |
| Healthnet Mcal | Healthnet Mcal | $32.40 |
| Hp Of San Joaquin Mcal | Hp Of San Joaquin Mcal | $32.40 |
| Medcore(Omni Ipa) Op Only- All Plans | Medcore(Omni Ipa) Op Only- All | $37.86 |
| Blue Shield Epn - All Other Plans | Blue Shield Epn - All Other Plans | $47.18 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $48.93 |
| Kaiser Commercial - All Other Plans | Kaiser Commercial - All Other Pl | $59.71 |
| First Health- All Plans | First Health- All Plans | $119 |
| Beech Street- All Plans | Beech Street- All Plans | $131 |
| Three Rivers Provider Network- All Plans | Three Rivers Provider Netwo | $131 |
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