Ondansetron injection at St. Mary Medical Center. CPT J2405.

What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$11.18cash price (self-pay)

$26.00list price

$0.13–$26.00range insurers pay

Insurance plan	Negotiated rate
United \| Commercial\|Non-Options PPO	$0.13
Health Net \| Commercial\|EPPO	$0.14
United \| Commercial\|All Other Plans	$0.15
United \| Commercial\|HMO	$0.15
United \| Commercial\|Options PPO	$0.15
Health Net \| Commercial\|Care Product	$0.17
Aetna \| Commercial\|All Other Plans	$0.19
Aetna \| Commercial\|HMO	$0.19
Aetna \| Commercial\|PPO	$0.19
Health Net \| Commercial\|All Other Plans	$0.20
Blue Shield CA \| Commercial\|All Other Plans	$0.23
Blue Shield CA \| Commercial\|Exchange	$0.23
Noble IPA \| Medicaid\|< 21	$4.09
Noble IPA \| Medicaid\|> 21	$4.09
BCBS - Anthem \| Medicaid\|All Plans	$4.55
HCLA \| Medicaid\|Preferred IPA < 21	$4.55
HCLA \| Medicaid\|Preferred IPA > 21	$4.55
Preferred IPA \| Medicaid\|Risk	$4.55
Angeles IPA \| Medicare\|All Plans	$4.56
Health Net \| Medicaid\|< 21	$6.07
Health Net \| Medicaid\|> 21	$6.07
Molina \| Medicaid\|All Plans	$6.37
DHR \| Medicaid\|< 21	$6.50
DHR \| Medicaid\|> 21	$6.50
HPN \| Commercial\|All Plans	$7.28
Cigna \| Commercial\|All Other Plans	$11.96
Cigna \| Commercial\|PPO	$11.96
BCBS - Anthem \| Commercial\|Exchange	$15.60
Blue Shield CA \| Medicare\|BlueShield Promise	$16.90
Kaiser \| Commercial\|All Plans	$18.20

$11.18cash price (self-pay)

$26.00list price

$5.20–$26.00range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicaid\|All Plans	$5.20
HPN \| Commercial\|All Plans	$7.28
HCLA \| Medicaid\|Preferred IPA < 21	$7.80
HCLA \| Medicaid\|Preferred IPA > 21	$7.80
Kaiser \| Commercial\|All Plans	$18.20
MultiPlan \| Commercial\|All Plans	$20.80
SMIPA \| Medicare\|All Plans	$26.00

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