Ondansetron injection at Providence Mission Hospital - Mission Viejo. CPT J2405.
What Providence Mission Hospital - Mission Viejo publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$44.76cash price (self-pay)
$93.25list price
$0.12–$9.93range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | All Other Ppo | $0.12 |
| Cigna | Hmo/Network/Open Access Plus Benefits Plans Hmo | $0.12 |
| Aetna | Gatekeeper Hmo | $0.18 |
| Unitedhealthcare | All Commercial Plans | $0.19 |
| Unitedhealthcare | Select/Navigate Hmo | $0.19 |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $9.93 |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $9.93 |
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All common services at Providence Mission Hospital - Mission Viejo