Ondansetron injection at MercyOne New Hampton Medical Center. CPT J2405.
What MercyOne New Hampton Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3.00cash price (self-pay)
$3.00list price
$0.36–$3.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Wy | Wellmark PPO | $0.36 |
| BCBS Generic | Wellmark PPO | $0.36 |
| Blue Cross - Vt | Wellmark PPO | $0.36 |
| Blue Cross - Va (Anthem) | Wellmark PPO | $0.36 |
| Blue Cross - Va (Carefirst) | Wellmark PPO | $0.36 |
| Blue Cross - Wa (Premera) | Wellmark PPO | $0.36 |
| Blue Cross - Tn | Wellmark PPO | $0.36 |
| Blue Cross - Mn | Wellmark PPO | $0.36 |
| Blue Cross - Ia (Wellmark) | Wellmark HMO | $0.36 |
| Blue Cross - Ia (Wellmark) | Wellmark PPO | $0.36 |
| Kaiser Domestic | Wellmark PPO | $0.36 |
| Pre-Employment | Wellmark PPO | $0.36 |
| Wc Domestic | Wellmark PPO | $0.36 |
| Blue Cross - Ar | Wellmark PPO | $0.36 |
| Blue Cross - Oh (Anthem) | Wellmark PPO | $0.36 |
| Blue Cross - Sd (Wellmark) | Wellmark PPO | $0.36 |
| Blue Cross - Al | Wellmark PPO | $0.36 |
| Blue Cross - Ks | Wellmark PPO | $0.36 |
| Blue Cross - Mo (Anthem) | Wellmark PPO | $0.36 |
| Blue Cross - Nd | Wellmark PPO | $0.36 |
| Blue Cross - Ne | Wellmark PPO | $0.36 |
| Blue Cross - IL Alternate | Wellmark PPO | $0.36 |
| Blue Cross - Mi | Wellmark PPO | $0.36 |
| Blue Cross - In (Anthem) | Wellmark PPO | $0.36 |
| Blue Cross - IL | Wellmark PPO | $0.36 |
| Blue Cross - Wi (Anthem) | Wellmark PPO | $0.36 |
| Blue Cross - Hi | Wellmark PPO | $0.36 |
| Blue Cross - Id | Wellmark PPO | $0.36 |
| Blue Shield - Id (Regence) | Wellmark PPO | $0.36 |
| Blue Cross - De (Highmark) | Wellmark PPO | $0.36 |
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