Ondansetron injection at Pali Momi Medical Center. CPT J2405.
What Pali Momi Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$17.15cash price (self-pay)
$52.38list price
$0.07–$44.71range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blended Rate UHC | All Products | $0.07 |
| UHC | All Products | $0.07 |
| Hmsa | Quest Non-Abd | $0.09 |
| Hmsa | Quest Abd | $0.09 |
| Ohana | Quest - Abd | $0.10 |
| Hmsa | All Products | $0.13 |
| Uha | All Products | $0.16 |
| Ohana | Quest - Non-Abd | $15.50 |
| Alohacare | Abd - Pediatric | $29.21 |
| Alohacare | Abd - Adult | $29.21 |
| Calvos | Select Care | $36.67 |
| Hwmg/Hmaa | All Products | $36.67 |
| Kaiser | All Products | $41.90 |
| Coventry | All Products | $44.52 |
| Mccp | All Products | $44.52 |
| Multiplan | All Products | $44.52 |
Inpatient
$17.15cash price (self-pay)
$52.38list price
$8.46–$44.71range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | All Products | $41.90 |
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