Ondansetron injection at Providence Little Co of Mary Med Center San Pedro. CPT J2405.
What Providence Little Co of Mary Med Center San Pedro publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$32.74cash price (self-pay)
$93.61list price
$0.17–$25.63range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All Commercial Plans | $0.17 |
| Blue Shield | Medicare Managed Care Plan | $0.19 |
| Unitedhealthcare | All Commercial Plans | $0.19 |
| Unitedhealthcare | Select/Navigate Hmo | $0.19 |
| Blue Shield | Epn/Ifp Benefit Exchange | $0.21 |
| Blue Shield | Hmo | $0.21 |
| Blue Shield | Ppo/Epo | $0.21 |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $0.21 |
| Cigna | Oa/Oap Hmo/Pos | $1.53 |
| Cigna | Ppo | $1.53 |
| Blue Cross | All Commercial Plans | $25.63 |
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All common services at Providence Little Co of Mary Med Center San Pedro