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Ondansetron injection at Physicians Surgical Hospitals. CPT J2405.

What Physicians Surgical Hospitals publishes for this service, straight from its standard-charges file, last updated February 12, 2026.

Outpatient / ER

$2.91cash price (self-pay)
$15.60list price
$0.20–$21.57range insurers pay
Insurance planNegotiated rate
BCBS Medicaid [1165] | BCBS Medicaid [116504]$0.76
First Care Medicaid [1372] | Firstcare Chip [137202]$0.79
First Care Medicaid [1372] | Firstcare Star Medicaid [137201]$2.38
First Care Commercial [1371] | Firstcare HMO [137103]$4.83
Insurance Management Services (Ims) [1540] | Ims Bsa Employees [154001$5.46
Healthcare Highways [2210] | Hch 90 Degree Benefits [221013]$6.08
Healthcare Highways [2210] | Hch Broken Arrow [221012]$6.08
Healthcare Highways [2210] | Hch John Soules Foods [221011]$6.08
Texas Childrens Health Plan [3995] | Texas Childrens Health Plan [3995$6.08
Umr [2035] | Umr Oon Potter Co [203506]$6.08
Healthscope Benefits [2290] | Healthscope Benefits [229000]$6.08
Cigna Medicaid Replacement [3945] | Cigna Healthspring Medicaid Replac$6.08
Fidelis Care Of NY Medicaid Replacement [3865] | Fidelis Care Of NY Me$6.08
Oncology Patient Assistance Programs [2295] | Bccs Family Circle Of CA$6.08
Insurance Management Services (Ims) [1540] | Ims Randall County [15400$6.55
Insurance Management Services (Ims) [1540] | Ims In Network [154002]$7.02
Maxor Insurance [1610] | Maxor Insurance [161000]$7.33
Group Pension Admin [1450] | Gpa Imagine Health [145009]$7.80
American Healthcare [1055] | American Healthcare [105500]$7.80
Texas Rehab [1965] | Ssa [196500]$8.89
United Healthcare [2060] | United Healthcare Student Svc [206012]$9.56
Nreca [1735] | Nreca [173500]$9.56
Aetna [1015] | Aetna Client Specific [101506]$10.14
Mega Life And Health [1650] | Mega Life Heatlh [165001]$10.92
Medishare Christian Care [1645] | Medishare Christian Care [164500]$10.92
Rh Administrators [1885] | Rh Administrators [188500]$10.92
Northamerica Administrators [1725] | Northamerica Administrators [1725$10.92
Federated Mutual [1365] | Federated Mutual [136500]$10.92
Americas Choice Health Plans [1090] | Americas Choice Health Plans [10$10.92
Assurant Health [1105] | Assurant Health [110501]$10.92
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All common services at Physicians Surgical Hospitals