Ondansetron injection at Tri-City Medical Center. CPT J2405.
What Tri-City Medical Center publishes for this service, straight from its standard-charges file, last updated May 29, 2026.
Outpatient / ER
$15.00cash price (self-pay)
$25.00list price
$4.60–$17.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Net | Medi-Cal, Healthy Families Healthy Kids | $4.60 |
| Aetna | Medicare Advantage | $5.00 |
| Sharp Health Plan | HMO | $6.25 |
| Sharp Health Plan | PPO | $6.25 |
| Central Health Plan | Medicare Advantage | $7.50 |
| Health Net | Blue and Gold | $7.50 |
| Health Net | Bronze Network (SmartCare) | $7.50 |
| Molina Healthcare | Covered California PPO | $7.50 |
| Molina Healthcare | Medicare Advantage | $7.50 |
| Providence Health Plan | Covered California | $7.50 |
| Kaiser Permanente | HMO | $8.75 |
| UnitedHealthcare | Select/Select Plus | $10.51 |
| Blue Shield of California | Commercial | $11.50 |
| UnitedHealthcare | Commercial | $11.51 |
| Cigna | HMO | $12.50 |
| Cigna | PPO | $14.43 |
| Health Net | Commercial/Covered California PPO | $14.60 |
| Magellan Health | Commercial/Medicare Advantage | $15.00 |
| Aetna | Commercial | $17.50 |
| Multiplan | PPO | $17.50 |
Inpatient
$15.00cash price (self-pay)
$25.00list price
$8.38–$19.48range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthcare | Select/Select Plus | $8.38 |
| UnitedHealthcare | Commercial | $9.18 |
| Blue Shield of California | Commercial | $12.50 |
| Cigna | HMO | $12.50 |
| Cigna | PPO | $14.43 |
| Multiplan | PPO | $17.50 |
| Health Net | Commercial/Covered California PPO | $19.48 |
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