Ondansetron injection at Memorial Hospital Pembroke. CPT J2405.
What Memorial Hospital Pembroke publishes for this service, straight from its standard-charges file, last updated May 27, 2026.
Outpatient / ER
$17.50cash price (self-pay)
$128list price
$0.10–$1,578range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AvMed | Medicare | $0.10 |
| CIGNA | Surefit Benefit Plan | $0.13 |
| Aetna | Qualified Health Plan | $0.14 |
| CIGNA | HMO/Local Plus Benefit/Network/Open Access/POS/Pathwell - Bene | $0.14 |
| Cigna | Ifp | $0.14 |
| Aetna | Gatekeeper | $0.15 |
| United Healthcare | Commercial | $0.16 |
| United Healthcare | IEX | $0.16 |
| United Healthcare | NHP | $0.16 |
| Amerihealth Caritas | QHP | $0.17 |
| Community Care Plan | Commercial | $0.17 |
| Molina | Exchange | $0.17 |
| AvMed | Select Network | $0.21 |
| AvMed | Commercial | $0.22 |
| AvMed | Exchange | $0.24 |
| Employers Health Network | Commercial | $0.29 |
| Aetna Better Health | Healthy Kids | $21.80 |
| Aetna | Managed Medicare | $29.50 |
| Sunshine | Ambetter Exchange | $53.87 |
| Emerging Therapy Solutions | Transplants | $76.95 |
| Allianz | PPO | $83.37 |
| Axis | Commercial | $83.37 |
| Desjardins Financial Security Life Assurance Company | Commercial | $83.37 |
| Global Health Claims | Non-Domestic | $83.37 |
| Global Reach Health | Commercial | $83.37 |
| Global Medical Management | Commercial | $83.37 |
| National Healthcare Solutions | Commercial | $83.37 |
| Plotkin | Commercial | $83.37 |
| Quality Health Management | Commercial | $83.37 |
| Quebec Inc | Commercial | $83.37 |
Inpatient
$17.50cash price (self-pay)
$128list price
$4.25–$2,726range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | Healthy Kids | $21.80 |
| Community Care Plan | Commercial | $40.40 |
| Molina | Exchange | $41.05 |
| Amerihealth Caritas | QHP | $42.33 |
| Employers Health Network | Commercial | $47.46 |
| Sunshine | Ambetter Exchange | $53.87 |
| CIGNA | Surefit Benefit Plan | $69.64 |
| Emerging Therapy Solutions | Transplants | $76.95 |
| CIGNA | HMO/Local Plus Benefit/Network/Open Access/POS/Pathwell - Bene | $77.98 |
| Allianz | PPO | $83.37 |
| Axis | Commercial | $83.37 |
| Desjardins Financial Security Life Assurance Company | Commercial | $83.37 |
| Global Health Claims | Non-Domestic | $83.37 |
| Global Reach Health | Commercial | $83.37 |
| Global Medical Management | Commercial | $83.37 |
| National Healthcare Solutions | Commercial | $83.37 |
| Plotkin | Commercial | $83.37 |
| Quality Health Management | Commercial | $83.37 |
| Quebec Inc | Commercial | $83.37 |
| Star Healthcare Network | Commercial | $83.37 |
| World Medical Care | Commercial | $83.37 |
| Worldwide Managed Care Partners | Commercial | $83.37 |
| Worldwide Medical Assurance | Commercial | $83.37 |
| Dimension Health | PPO | $86.57 |
| Gallagher Bassett | Workers Compensation | $103 |
| Global Health Claims | Domestic | $109 |
| Broward County | Arrestee | $2,726 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.