Ondansetron injection at Sequoia Hospital. CPT J2405.

What Sequoia Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$9.47cash price (self-pay)

$26.00list price

$0.10–$26.00range insurers pay

Insurance plan	Negotiated rate
Brown Toland \| Medicare\|All Plans	$0.10
United \| Commercial\|All Other Plans	$0.15
United \| Commercial\|HMO	$0.15
United \| Commercial\|Options PPO	$0.15
Blue Shield CA \| Commercial\|ACO Trio	$0.23
Blue Shield CA \| Commercial\|All Other Plans	$0.23
Blue Shield CA \| Commercial\|Exchange	$0.23
Health Net \| Commercial\|Care Product	$0.42
Health Net \| Commercial\|FFS	$0.49
Aetna \| Commercial\|All Plans	$0.53
BCBS - Anthem \| Medicaid\|< 21	$4.55
BCBS - Anthem \| Medicaid\|> 21	$4.55
Kaiser \| Medicaid\|< 21	$4.55
Kaiser \| Medicaid\|> 21	$4.55
Partnership Health Plan \| Medicaid\|< 21	$4.55
Partnership Health Plan \| Medicaid\|> 21	$4.55
Health Plan San Mateo \| Medicaid\|< 21	$5.60
Health Plan San Mateo \| Medicaid\|> 21	$5.60
Sutter Health \| Commercial\|All Plans	$6.50
Connected Care \| Commercial\|Intel	$11.18
Cigna \| Commercial\|All Plans	$15.60
BCBS - Anthem \| Commercial\|All Other Plans	$16.08
Healthsmart \| Commercial\|All Plans	$17.68
Kaiser \| Commercial\|All Plans	$20.02
Multiplan \| Commercial\|All Plans	$21.32
BCBS - Anthem \| Commercial\|MCS	$26.00

$9.47cash price (self-pay)

$26.00list price

$5.72–$21.32range insurers pay

Insurance plan	Negotiated rate
Health Plan San Mateo \| Medicaid\|< 21	$5.72
Health Plan San Mateo \| Medicaid\|> 21	$5.72
Sutter Health \| Commercial\|All Plans	$6.50
Connected Care \| Commercial\|Intel	$11.18
Healthsmart \| Commercial\|All Plans	$17.68
Kaiser \| Commercial\|All Plans	$20.02
Multiplan \| Commercial\|All Plans	$21.32

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