Ondansetron injection at Holy Cross Hospital. CPT J2405.
What Holy Cross Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1.95cash price (self-pay)
$13.38list price
$0.08–$776range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicare Advantage | Medicare | $0.09 |
| Humana Medicare Advantage | Humana Medicare Advantage | $0.09 |
| Rx Allwin | Medicare | $0.09 |
| Molina Medicaid | Molina Healthcare Medicaid | $0.90 |
| Phcs | Phcs | $1.09 |
| First Health | First Health International | $1.20 |
| First Health | First Health | $1.76 |
| Guardian | International | $1.80 |
| Multiplan | Dimension Health Multiplan | $2.64 |
| Community Care Plan Medicaid Advantage | Community Care Plan Medicaid | $3.00 |
| Sunshine State Health Plan | Sunshine State Health Plan Medicaid | $3.00 |
| Humana Medicaid | Humana Medicaid HMO | $3.00 |
| Wellcare Medicaid | Sunshine State Health Plan Medicaid | $3.00 |
| Multiplan | Beech Street | $5.99 |
| Penfield Care | International | $6.25 |
| Global Health Claim Services | International | $6.25 |
| Ww Concierge Healthcare Service | International | $6.25 |
| Axa Assistance Us | International | $6.25 |
| Olympus Managed Health Care | International | $6.25 |
| Desjardins Financial Security Life Assurance | International | $6.25 |
| National Healthcare Solutions | International | $6.25 |
| Axis Services | International | $6.25 |
| Allianz Global Assistance | International | $6.25 |
| Blue Cross - FL | BCBS Network Blue | $265 |
| Blue Cross - Co (Anthem) | BCBS Ppc | $763 |
| Blue Cross - Az | BCBS Ppc | $763 |
| Blue Cross - Al | BCBS Ppc | $763 |
| Blue Cross - Ak (Premera) | BCBS Ppc | $763 |
| Blue Cross - Nh (Anthem) | BCBS Ppc | $763 |
| Blue Cross - Sd (Wellmark) | BCBS Ppc | $763 |
Inpatient
$3.00cash price (self-pay)
$3.00list price
$0.32–$3.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Id | Medicaid | $0.32 |
| Champva | Tricare | $0.35 |
| Tricare | Tricare | $0.35 |
| Us Family Health Plan | Tricare | $0.35 |
| Rx Allwin | Medicare | $0.36 |
| Humana Medicare Advantage | Humana Medicare Advantage | $0.36 |
| Molina Medicare Advantage | Medicare | $0.36 |
| Commonwealth Care Alliance | Medicare | $0.36 |
| Rx Carelonrx Medicare | Medicare | $0.36 |
| Rx Retiree Rx Care | Medicare | $0.36 |
| Rx Grane Grnmedd | Medicare | $0.36 |
| Community Pace At Home | Medicare | $0.36 |
| Avmed Medicare | Avmed Medicare Advantage | $0.36 |
| Careplus Health Plans | Careplus Medicare Advantage | $0.36 |
| Medicare Medical Associates Health Plans | Medicare | $0.36 |
| Perennial Advantage | Medicare | $0.36 |
| Prominence Medicare | Medicare | $0.36 |
| Highmark Health Options Dual Plan | Medicare | $0.36 |
| Champion Health Plan Mcr Advantage | Medicare | $0.36 |
| Aetna Medicare Assure Premier HMO D-Snp | Medicare | $0.36 |
| Anthem Mycare Ohio | Medicare | $0.36 |
| Medicaid - Ne | Medicaid | $0.36 |
| Medicaid - Or | Medicaid | $0.36 |
| Medicare Alternate Payor | Medicare | $0.36 |
| Genesys Pace Of Genesee County | Medicare | $0.36 |
| Reliance Community Care Partners Care Resources Pace | Medicare | $0.36 |
| Humana | Humana | $0.37 |
| Geha | United Healthcare | $0.40 |
| United Healthcare | United Healthcare | $0.40 |
| United Healthcare | UHC Options PPO | $0.40 |
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