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Ondansetron injection at Wayne Memorial Hospital. CPT J2405.

What Wayne Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.

Outpatient / ER

$4.50cash price (self-pay)
$29.50list price
$5.53–$45.00range insurers pay
Insurance planNegotiated rate
Blue Cross PAR PPO | PPO$18.14
Blue Cross Open Access HMO | HMO$18.14
CIGNA Healthgram City Employee | Contract$19.77
AETNA | Commercial$21.64
First Health | Commercial$22.12
CIGNA | Commercial$22.48
HUMANA ChoiceCare | Commercial$23.60
United Healthcare | Commercial$24.78
PHCS | Commercial$26.55
Super Med | Commercial$26.55

Inpatient

$4.50cash price (self-pay)
$29.50list price
$6.03–$45.00range insurers pay
Insurance planNegotiated rate
CIGNA Healthgram City Employee | Contract$19.77
AETNA | Commercial$21.64
First Health | Commercial$22.12
CIGNA | Commercial$22.48
HUMANA ChoiceCare | Commercial$23.60
United Healthcare | Commercial$24.78
PHCS | Commercial$26.55
Super Med | Commercial$26.55
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All common services at Wayne Memorial Hospital