Ondansetron injection at St. Elizabeth Community Hospital. CPT J2405.
What St. Elizabeth Community Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$26.87cash price (self-pay)
$131list price
$4.55–$151range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Partnership Health Plan | Medicaid|All Plans | $4.55 |
| BCBS - Anthem | Medicaid|All Plans | $6.51 |
| California Health & Wellness | Medicaid|All Plans | $9.01 |
| BCBS - Anthem | Commercial|Exchange | $65.50 |
| Blue Shield CA | Commercial|Exchange | $73.36 |
| BCBS - Anthem | Commercial|All Other Plans | $81.22 |
| Aetna | Commercial|All Other Plans | $91.70 |
| Aetna | Commercial|HMO | $91.70 |
| Aetna | Commercial|PPO | $91.70 |
| Blue Shield CA | Commercial|All Other Plans | $95.63 |
| Cigna | Commercial|All Other Plans | $95.63 |
| Cigna | Commercial|PPO | $95.63 |
| United | Commercial|All Other Plans | $118 |
| United | Commercial|HMO | $122 |
| Coventry | Commercial|All Plans | $128 |
| Health Net | Commercial|All Plans | $128 |
| MultiPlan | Commercial|All Plans | $128 |
Inpatient
$26.87cash price (self-pay)
$131list price
$25.76–$151range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield CA | Commercial|Exchange | $73.36 |
| Blue Shield CA | Commercial|All Other Plans | $95.63 |
| Cigna | Commercial|All Other Plans | $95.63 |
| Cigna | Commercial|PPO | $95.63 |
| Aetna | Commercial|All Other Plans | $96.94 |
| Aetna | Commercial|HMO | $96.94 |
| Aetna | Commercial|PPO | $96.94 |
| United | Commercial|All Other Plans | $118 |
| United | Commercial|HMO | $122 |
| Coventry | Commercial|All Plans | $128 |
| Health Net | Commercial|All Plans | $128 |
| MultiPlan | Commercial|All Plans | $128 |
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