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Ondansetron injection at Simi Valley Hospital And Health Care Services. CPT J2405.

What Simi Valley Hospital And Health Care Services publishes for this service, straight from its standard-charges file, last updated May 21, 2026.

Outpatient / ER

$7.81cash price (self-pay)
$73.39list price
$0.25–$121range insurers pay
Insurance planNegotiated rate
UHC HMO | UHC HMO$0.25
UHC Jll | UHC Jll$0.25
Bc Exchange | Bc Exchange$14.58
Bc Non Mcs | Bc Non Mcs$16.19
Bc Mcs - All Other Plans | Bc Mcs - All Other Plans$19.43
Ehn - All Plans | Ehn - All Plans$22.02
Vchcp - All Plans | Vchcp - All Plans$29.36
UHC All Payer - All Other Plans | UHC All Payer - All Other Plans$30.46
Hpn Senior HMO | Hpn Senior HMO$30.61
Blue Shield - All Other Plans | Blue Shield - All Other Plans$33.69
Kaiser - All Plans | Kaiser - All Plans$36.70
Hpn - All Other Plans | Hpn - All Other Plans$36.84
Western Growers - All Plans | Western Growers - All Plans$41.84
Cigna All Other - All Other Plans | Cigna All Other - All Other Plans$43.59
Cigna HMO | Cigna HMO$43.59
Scan Mcr Adv - All Plans | Scan Mcr Adv - All Plans$44.04
First Health - All Plans | First Health - All Plans$47.71
Phcs PPO - All Plans | Phcs PPO - All Plans$47.71
Aetna - All Plans | Aetna - All Plans$50.57
Beech Street PPO - All Plans | Beech Street PPO - All Plans$55.05
Choicecare PPO - All Plans | Choicecare PPO - All Plans$55.05
Health Net - All Plans | Health Net - All Plans$55.33
Corvel Corp - All Plans | Corvel Corp - All Plans$58.72
Interplan PPO - All Plans | Interplan PPO - All Plans$58.72
Multiplan PPO - All Plans | Multiplan PPO - All Plans$60.92
Ahf - All Plans | Ahf - All Plans$62.38
Hmn PPO/EPO - All Plans | Hmn PPO/EPO - All Plans$62.38
Trpn PPO - All Plans | Trpn PPO - All Plans$62.38
Fpn PPO - All Plans | Fpn PPO - All Plans$66.06
Gold Coast Mcal - All Plans | Gold Coast Mcal - All Plans$90.28
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All common services at Simi Valley Hospital And Health Care Services