Ondansetron injection at St Helena Hospital. CPT J2405.
What St Helena Hospital publishes for this service, straight from its standard-charges file, last updated July 15, 2026.
Outpatient / ER
$1.03cash price (self-pay)
$21.00list price
$0.17–$46.42range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Umr UHC PPO | Umr UHC PPO | $0.17 |
| Aetna-All Plans | Aetna-All Plans | $0.20 |
| UHC Jll | UHC Jll | $0.25 |
| UHC Select/Select Plus | UHC Select/Select Plus | $0.25 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $0.25 |
| UHC Options PPO | UHC Options PPO | $0.25 |
| Blue Shield Behav Hlth | Blue Shield Behav Hlth | $9.45 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $9.74 |
| Blue Shield Epn-All Other Plans | Blue Shield Epn-All Other Plans | $9.89 |
| Phcs-All Plans | Phcs-All Plans | $11.55 |
| Western Growers-All Plans | Western Growers-All Plans | $12.18 |
| Blue Cross Exchange | Blue Cross Exchange | $12.49 |
| Interplan-All Plans | Interplan-All Plans | $12.60 |
| Healthnet-All Plans | Healthnet-All Plans | $12.88 |
| Blue Cross Non Mcs | Blue Cross Non Mcs | $13.88 |
| Choicecare-All Plans | Choicecare-All Plans | $14.70 |
| Beech Street-All Plans | Beech Street-All Plans | $15.75 |
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $16.65 |
| Cigna-All Other Plans | Cigna-All Other Plans | $16.80 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $17.22 |
| Health Management Network-All Plans | Health Management Network-All Pl | $17.85 |
| Galaxy Network-All Plans | Galaxy Network-All Plans | $18.90 |
| Three Rivers-All Plans | Three Rivers-All Plans | $18.90 |
| Va Medi-Cal | Va Medi-Cal | $21.00 |
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