Ondansetron injection at Platte Valley Medical Center. CPT J2405.
What Platte Valley Medical Center publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$5.02list price
$0.30–$50.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $1.17 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $1.17 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $1.79 |
| BCBS/Anthem | BCBS Co Exchange Plan | $2.00 |
| BCBS/Anthem | BCBS Co Federal | $2.00 |
| BCBS/Anthem | BCBS Co HMO | $2.00 |
| BCBS/Anthem | BCBS Co PPO | $2.00 |
| Choicecare Humana | Choicecare Humana HMO EPO | $2.11 |
| Choicecare Humana | Choicecare Humana PPO | $2.11 |
| United Healthcare | Selectcolorado | $2.78 |
| Cigna | Cigna HMO | $3.48 |
| Cigna | Cigna Indemnity | $3.48 |
| Cigna | Cigna Other | $3.48 |
| Cigna | Cigna POS/Qpos | $3.48 |
| Cigna | Cigna PPO | $3.48 |
| Cigna | Eighth Dist Elect Ben Pln | $3.48 |
| Cigna | Health-Partners | $3.48 |
| Geha | Geha | $3.71 |
| Geha | Geha Mcr Supplemental | $3.71 |
| United Healthcare | All Savers Alternative Funding | $3.71 |
| United Healthcare | Golden Rule Ins | $3.71 |
| United Healthcare | Healthscope | $3.71 |
| United Healthcare | Medica | $3.71 |
| United Healthcare | Surest | $3.71 |
| United Healthcare | UHC Charter/Navigate | $3.71 |
| United Healthcare | UHC Exchange Plan | $3.71 |
| United Healthcare | UHC Other/Supplemental | $3.71 |
| United Healthcare | Umr-United Med Resources | $3.71 |
| United Healthcare | United Healthcare | $3.71 |
| BCBS/Anthem | BCBS Co Indemnity | $3.91 |
Inpatient
—cash price (self-pay)
$5.02list price
$1.48–$45.13range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $2.18 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $2.18 |
| Cigna | Cigna HMO | $3.48 |
| Cigna | Cigna Indemnity | $3.48 |
| Cigna | Cigna Other | $3.48 |
| Cigna | Cigna POS/Qpos | $3.48 |
| Cigna | Cigna PPO | $3.48 |
| Cigna | Eighth Dist Elect Ben Pln | $3.48 |
| Cigna | Health-Partners | $3.48 |
| BCBS/Anthem | BCBS Co Indemnity | $3.91 |
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