Ondansetron injection at CHI Health Missouri Valley. CPT J2405.
What CHI Health Missouri Valley publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$48.76cash price (self-pay)
$105list price
$0.10–$107range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Commercial|HMO | $0.10 |
| Wellmark | Commercial|PPO | $0.10 |
| Humana | Medicare|All Plans | $36.59 |
| Medica | Medicare|All Plans | $36.59 |
| PACE | Medicare|All Plans | $36.59 |
| United | Medicare|All Plans | $36.59 |
| Centene | Medicare|All Plans | $37.33 |
| Amerigroup | Medicare|All Plans | $38.42 |
| Great Plains | Medicare|All Plans | $38.42 |
| United | Medicaid|Community Plan | $44.96 |
| Amerigroup | Medicaid|All Plans | $45.86 |
| Total Care | Medicaid|All Plans | $45.86 |
| IAMolina | Medicaid|All Plans | $46.76 |
| AMPS | Commercial|All Plans | $81.24 |
| BCBS - NE | Commercial|BluePrint | $94.36 |
| Medica | Commercial|All Other Plans | $95.14 |
| Medica | Commercial|CHI Health | $95.14 |
| BCBS - NE | Commercial|All Other Plans | $99.33 |
| Greater Omaha Packing | Commercial|Broad Network | $100 |
| Greater Omaha Packing | Commercial|Narrow Network | $100 |
| Medica | Commercial|ACO | $100 |
| Medica | Commercial|Open Access | $100 |
| Midlands Choice | Commercial|Premier | $100 |
| Midlands Choice | Commercial|Standard | $100 |
| Millard Public Schools | Commercial|Broad Network | $100 |
| Millard Public Schools | Commercial|Narrow Network | $100 |
| One World | Commercial|Broad Network | $100 |
| One World | Commercial|Narrow Network | $100 |
| QuikTrip | Commercial|All Plans | $100 |
| Timpte | Commercial|Broad Network | $100 |
Inpatient
$48.76cash price (self-pay)
$105list price
$56.72–$107range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Commercial|HMO | $59.60 |
| Wellmark | Commercial|PPO | $59.60 |
| BCBS - NE | Commercial|BluePrint | $94.36 |
| Medica | Commercial|All Other Plans | $95.14 |
| Medica | Commercial|CHI Health | $95.14 |
| BCBS - NE | Commercial|All Other Plans | $99.33 |
| Greater Omaha Packing | Commercial|Broad Network | $100 |
| Greater Omaha Packing | Commercial|Narrow Network | $100 |
| Medica | Commercial|ACO | $100 |
| Medica | Commercial|Open Access | $100 |
| Midlands Choice | Commercial|Premier | $100 |
| Midlands Choice | Commercial|Standard | $100 |
| Millard Public Schools | Commercial|Broad Network | $100 |
| Millard Public Schools | Commercial|Narrow Network | $100 |
| One World | Commercial|Broad Network | $100 |
| One World | Commercial|Narrow Network | $100 |
| QuikTrip | Commercial|All Plans | $100 |
| Timpte | Commercial|Broad Network | $100 |
| United | Commercial|All Plans | $100 |
| MultiPlan | Commercial|All Plans | $102 |
| PHCS | Commercial|All Plans | $102 |
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