Ondansetron injection at Tulsa Spine & Specialty Hospital. CPT J2405.

What Tulsa Spine & Specialty Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.

Outpatient / ER

$12.12cash price (self-pay)

$48.48list price

$0.18–$29.96range insurers pay

Insurance plan	Negotiated rate
Oncology Patient Assistance Programs [2295] \| Bccs Family Circle Of CA	$12.12
Healthcare Highways [2210] \| Hch John Soules Foods [221011]	$12.12
Oscar Insurance Company [7005] \| Oscar Insurance Company [700500]	$12.12
Osma Health Network [2345] \| Osma Health [234500]	$12.12
Lucent Health [6000] \| Lucent Health [600000]	$12.12
Black Lung [6055] \| Black Lung [605500]	$12.12
Umr - Ardent Employee [2036] \| Umr - Ardent Employee [203601]	$12.54
Healthscope Benefits [2290] \| Healthscope Ardent [229001]	$12.54
Healthcare Highways [2210] \| Hch 90 Degree Benefits [221013]	$19.88
Healthcare Highways [2210] \| Hch Broken Arrow [221012]	$19.88
Healthcare Highways [2210] \| Health Plans Inc [221008]	$19.88
Universal Fidelity [2085] \| Universal Fidelity Life [208500]	$19.88
Resource One Administrators [2815] \| Resource One Administrators [2815	$19.88
Web Tpa [2115] \| Web Tpa Healthcare Highways [211504]	$19.88
Meritain Health [1655] \| Meritain Health [165500]	$21.28
Meritain Aetna [3685] \| Meritain Aetna Ardent Employee [368502]	$21.28
Aetna [1015] \| Aetna Aco Wilco [101532]	$21.28
Allied Benefit Systems Inc [1030] \| Allied Benefit Systems [103000]	$21.28
Coventry Healthcare [1320] \| Coventry [132001]	$21.28
Coresource [1315] \| Coresource [131500]	$21.28
The Kempton Group Administrators [2905] \| Advantage Health Plan-No PPO	$21.82
Medica [2910] \| Medica Quest [291001]	$29.96
Multiplan [1680] \| Providence Health Plan [168004]	$29.96
First Health [1375] \| First Health [137517]	$29.96

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