Ondansetron injection at UCHealth Poudre Valley Hospital. CPT J2405.
What UCHealth Poudre Valley Hospital publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$5.40cash price (self-pay)
$7.71list price
$0.08–$8.82range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Local Plus/SureFit/Connect | $0.08 |
| Cigna | Connect Colorado Option | $0.08 |
| Cigna | Colorado Rockies | $0.09 |
| Cigna | Broad Networks | $0.11 |
| Anthem Employee | HMO/PPO | $0.15 |
| Anthem Pathway | Commercial | $0.16 |
| Select Health | Individual Colorado Option | $0.25 |
| Anthem City of Colorado Springs Employer Group | Commercial | $0.27 |
| Select Health | Individual ACA | $0.28 |
| Anthem Employee High Deductible Health Plan | PPO | $0.28 |
| Anthem | HMO/PPO | $0.29 |
| Aetna Core/Meritain | Commercial | $0.43 |
| Aetna ASA | Commercial | $0.44 |
| Anthem Pathway Standard | Commercial | $1.67 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $2.91 |
| First Health | Commercial | $4.55 |
| Anthem CU Trust | Commercial | $4.79 |
| United Healthcare | Select Colorado | $4.83 |
| Aetna | New Business Discount | $4.93 |
| United Healthcare | Navigate Colorado Option | $4.94 |
| Simplified Benefits Administration | Tiered Benefits | $6.27 |
| United Healthcare | Broad Networks | $6.38 |
| Rocky Mountain Health Plans | Commercial | $6.94 |
| Midlands Choice | Commercial | $6.94 |
| PHCS | Commercial | $7.02 |
| Multiplan | Commercial | $7.02 |
| First Choice of the Midwest | Commercial | $7.48 |
Inpatient
$5.40cash price (self-pay)
$7.71list price
$2.98–$8.82range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | Individual Colorado Option | $2.98 |
| Select Health | Individual ACA | $3.28 |
| First Health | Commercial | $4.55 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $4.71 |
| Anthem CU Trust | Commercial | $4.79 |
| Aetna | New Business Discount | $4.93 |
| Aetna Core/Meritain | Commercial | $5.94 |
| Denver Health Medical Plan | HighPoint | $6.01 |
| Simplified Benefits Administration | Tiered Benefits | $6.09 |
| Aetna ASA | Commercial | $6.38 |
| Rocky Mountain Health Plans | Commercial | $6.94 |
| Midlands Choice | Commercial | $6.94 |
| Multiplan | Commercial | $7.02 |
| PHCS | Commercial | $7.02 |
| First Choice of the Midwest | Commercial | $7.48 |
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