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Ondansetron injection at Jasper Memorial Hospital. CPT J2405.

What Jasper Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 20, 2026.

Outpatient / ER

$7.75cash price (self-pay)
$18.05list price
$8.30–$90.00range insurers pay
Insurance planNegotiated rate
BCBS Medicare Advantage PPO | Medicare Advantage$53.56
Kaiser HMO - Medicare | Medicare HMO$62.40
Ambetter | PPO/POS/HMO$62.40
BCBS HMO/POS | HMO/POS$70.00
CareSource | PPO/POS/HMO$72.80
BCBS PPO | PPO$80.00
United Healthcare | PPO/POS/HMO$80.00
Aetna PPO/POS/HMO | PPO/POS/HMO$82.00
Humana PPO/POS | PPO/POS$85.00
Kaiser PPO | PPO$85.00
Cigna | PPO/POS/HMO$85.00
Phcs | PPO/POS/HMO$85.00
MultiPlan | PPO/POS/HMO$90.00

Inpatient

$7.75cash price (self-pay)
$18.05list price
$12.71–$90.00range insurers pay
Insurance planNegotiated rate
Aetna PPO/POS/HMO | PPO/POS/HMO$82.00
Humana PPO/POS | PPO/POS$85.00
Kaiser PPO | PPO$85.00
Cigna | PPO/POS/HMO$85.00
Phcs | PPO/POS/HMO$85.00
MultiPlan | PPO/POS/HMO$90.00
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All common services at Jasper Memorial Hospital