Ondansetron injection at White Memorial Medical Center. CPT J2405.
What White Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated May 23, 2026.
Outpatient / ER
$9.96cash price (self-pay)
$57.16list price
$0.25–$207range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Jll | UHC Jll | $0.25 |
| Bc Medi-Cal | Bc Medi-Cal | $5.91 |
| Blue Cross Exchange | Blue Cross Exchange | $12.62 |
| Blue Shield Medi-Cal | Blue Shield Medi-Cal | $13.15 |
| Blue Shield Epn | Blue Shield Epn | $13.61 |
| Blue Cross Non Mcs | Blue Cross Non Mcs | $14.02 |
| Blue Shield - All Other Plans | Blue Shield - All Other Plans | $15.84 |
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $16.82 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $17.15 |
| Cigna | Cigna | $24.18 |
| Cigna All Other - All Other Plans | Cigna All Other - All Other Plans | $24.18 |
| Healthnet - All Other Plans | Healthnet - All Other Plans | $25.85 |
| Optum Mcr Adv | Optum Mcr Adv | $27.44 |
| Caremore Mcare - All Plans | Caremore Mcare - All Plans | $28.59 |
| Hcpamg - All Plans | Hcpamg - All Plans | $28.64 |
| Phcs PPO - All Plans | Phcs PPO - All Plans | $37.16 |
| Beech Street - All Plans | Beech Street - All Plans | $42.88 |
| Interplan PPO - All Plans | Interplan PPO - All Plans | $42.88 |
| Ahf - All Plans | Ahf - All Plans | $42.88 |
| Corvel Corp - All Plans | Corvel Corp - All Plans | $45.73 |
| Healthmannet - All Plans | Healthmannet - All Plans | $48.59 |
| Next Inc PPO - All Plans | Next Inc PPO - All Plans | $48.59 |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | Bella Vista Mcr A | $51.45 |
| Fpn PPO - All Plans | Fpn PPO - All Plans | $51.45 |
| Ahp Medi-Cal | Ahp Medi-Cal | $57.16 |
| Avanti Mcal | Avanti Mcal | $57.16 |
| Healthcare Inc Medi-Cal | Healthcare Inc Medi-Cal | $57.16 |
| Medi-Cal | Medi-Cal | $57.16 |
| Molina Medi-Cal | Molina Medi-Cal | $57.16 |
| Pacific Alliance Medi-Cal | Pacific Alliance Medi-Cal | $57.16 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.