Ondansetron injection at San Gabriel Valley Medical Center. CPT J2405.
What San Gabriel Valley Medical Center publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$5.40cash price (self-pay)
$46.50list price
$0.09–$75.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health of California | Aetna | $0.18 |
| Blue Shield of California | Blue Shield | $0.26 |
| Blue Shield of California | Blue Shield Value Network Covered Californ | $0.26 |
| AIDS Healthcare Foundation | AIDS Hlth Fndn/Positive Hlth Mcal | $4.55 |
| AltaMed Health Network | AltaMed Health Network Medi-Cal | $4.55 |
| Avanti | Avanti Medi-cal | $4.55 |
| Beverly Hospital | BEVERLY HOSPITAL MCL | $4.55 |
| Emanate Health | Emanate Health Medi-Cal | $4.55 |
| Blue Cross Medi-Cal Managed Care | Blue Cross Healthy Families | $5.00 |
| Blue Cross Medi-Cal Managed Care | Blue Cross Medi-Cal | $5.46 |
| Care 1st Health Plan | BLUE SHIELD PROMISE HEALTH PLAN MCAL | $6.37 |
| Anthem Blue Cross | Anthem Blue Cross Select HMO | $7.82 |
| Anthem Blue Cross | Anthem Blue Cross Commercial HMO/PPO/EPO | $8.80 |
| Anthem Blue Cross | Anthem Blue Cross Workers Compensation | $8.80 |
| Aetna Health of California | Aetna Senior | $11.62 |
| Care 1st Health Plan | Care 1st Health Plan Healthy Families | $11.62 |
| Alignment Healthplan | Alignment Healthplan Allied Pacific Sr Cap | $16.27 |
| Brand New Day | Brand New Day Allied Pacific SR Cap | $16.27 |
| Clever Care | Clever Care Accountable Phys Cap | $16.27 |
| Clever Care | Clever Care Allied Phys Cap | $16.27 |
| Health Net | Health Net Latino Product | $17.34 |
| Health Net Inc | Health Net Community Care Commercial | $17.91 |
| Health Net | Health Net PPO | $18.18 |
| Aetna Health of California | Aetna Covered CA | $18.60 |
| AIDS Healthcare Foundation | AIDS Healthcare Foundation | $18.60 |
| Health Net | Health Net Commercial HMO/POS | $19.48 |
| Health Net | Health Net Enhanced PPO | $22.41 |
| Care 1st Health Plan | BLUE SHIELD PROMISE HEALTH HMO | $23.25 |
| Care 1st Health Plan | BLUE SHIELD PROMISE HEALTH SENIOR | $23.25 |
| Facey Medical | Facey Medical | $23.25 |
Inpatient
$5.40cash price (self-pay)
$46.50list price
$3.78–$75.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health of California | Aetna | $9.77 |
| Affiliated Health Fund | Affiliated Health Fund | $16.27 |
| Care 1st Health Plan | BLUE SHIELD PROMISE HEALTH HMO | $23.25 |
| ChoiceCare Network | ChoiceCare | $25.57 |
| Beech Street | Beech Street PPO | $37.20 |
| MultiPlan | MultiPlan PPO | $41.85 |
| PPO Next | PPO Next | $41.85 |
| Other Non Contracted Commercial | Other Non Contracted Commercial | $46.50 |
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