Ondansetron injection at Samuel Mahelona Memorial Hospital. CPT J2405.
What Samuel Mahelona Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$2.01cash price (self-pay)
$6.34list price
$0.09–$51.85range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hawaii Medical Service Association | ABD | $0.09 |
| Hawaii Medical Service Association | Non-ABD | $0.09 |
| AlohaCare | Medicare | $2.00 |
| Hawaii Medical Service Association | Medicare | $2.00 |
| Kaiser Permanente | Medicare | $2.00 |
| Ohana Health Plan | Medicare | $2.00 |
| UnitedHealthcare | Medicare | $2.00 |
| Kaiser Permanente | Medicaid | $2.04 |
| Devoted Health | Medicare | $2.20 |
| AlohaCare | Medicaid | $2.58 |
| Humana | Medicare | $2.58 |
| Ohana Health Plan | Medicaid | $2.58 |
| UnitedHealthcare | Medicaid | $3.10 |
| Kaiser Permanente | Commercial | $3.60 |
| University Health Alliance | Commercial | $3.77 |
| MDX Hawaii | PPO | $5.02 |
| Health Management Network | Commercial | $5.39 |
| Hawaii Western Management Group | Commercial | $6.02 |
Inpatient
$2.01cash price (self-pay)
$5.17list price
$2.63–$7.44range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $4.39 |
| Kaiser Permanente | Commercial | $4.66 |
| MDX Hawaii | PPO | $5.02 |
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