Ondansetron injection at Ukiah Adventist Hospital. CPT J2405.
What Ukiah Adventist Hospital publishes for this service, straight from its standard-charges file, last updated May 24, 2026.
Outpatient / ER
$0.67cash price (self-pay)
$11.00list price
$0.09–$38.47range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna-All Plans | Aetna-All Plans | $0.18 |
| UHC Jll Csp 1/1/25 | UHC Jll Csp 1/1/25 | $0.25 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $0.25 |
| Blue Shield Epn-All Other Plans | Blue Shield Epn-All Other Plans | $4.96 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $5.02 |
| Mendocino Lcc District-All Plans | Mendocino Lcc District-All Plans | $7.15 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $7.21 |
| Healthnet-All Plans | Healthnet-All Plans | $7.44 |
| Western Growers-All Plans | Western Growers-All Plans | $8.55 |
| Cigna-All Plans | Cigna-All Plans | $8.58 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $8.80 |
| Foundation For Medical Care-All Plans | Foundation For Medical Care-Al | $9.75 |
| Three Rivers-All Plans | Three Rivers-All Plans | $9.90 |
| Networks By Design-All Plans | Networks By Design-All Plans | $10.40 |
| Phcs Multiplan-All Plans | Phcs Multiplan-All Plans | $10.40 |
| Interplan-All Plans | Interplan-All Plans | $10.66 |
| Medi-Cal | Medi-Cal | $11.00 |
| Kaiser Medi-Cal | Kaiser Medi-Cal | $11.00 |
| Beech Street-All Plans | Beech Street-All Plans | $11.05 |
| Choice Care-All Plans | Choice Care-All Plans | $11.05 |
| Health Mgmt Network-All Plans | Health Mgmt Network-All Plans | $11.05 |
| Blue Cross Exchange | Blue Cross Exchange | $28.05 |
| Blue Cross Non-Mcs | Blue Cross Non-Mcs | $31.17 |
| Blue Cross Mcs-All Other Plans | Blue Cross Mcs-All Other Plans | $37.40 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.