Ondansetron injection at MercyOne Waterloo Medical Center. CPT J2405.
What MercyOne Waterloo Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3.00cash price (self-pay)
$13.38list price
$0.07–$8.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $0.09 |
| Blue Shield - NY Highmark Western | Wellmark PPO | $0.36 |
| Blue Cross - Nh (Anthem) | Wellmark PPO | $0.36 |
| Kaiser Domestic | Wellmark PPO | $0.36 |
| Blue Cross - Nj (Horizon) | Wellmark PPO | $0.36 |
| Blue Cross - NY (Anthem) | Wellmark PPO | $0.36 |
| Blue Cross - Ct (Anthem) | Wellmark PPO | $0.36 |
| Blue Cross - Hi | Wellmark PPO | $0.36 |
| Blue Cross - Ga (Anthem) | Wellmark PPO | $0.36 |
| Blue Cross - FL | Wellmark PPO | $0.36 |
| Blue Cross - Dc (Carefirst) | Wellmark PPO | $0.36 |
| Blue Cross - Ri | Wellmark PPO | $0.36 |
| Blue Shield - Pa (Highmark) | Wellmark PPO | $0.36 |
| Blue Cross - TX | Wellmark PPO | $0.36 |
| Blue Cross - Tn | Wellmark PPO | $0.36 |
| Blue Cross - Sc | Wellmark PPO | $0.36 |
| Blue Cross - Wv (Highmark) | Wellmark PPO | $0.36 |
| Blue Cross - Ut (Regence) | Wellmark PPO | $0.36 |
| Blue Cross - Va (Anthem) | Wellmark PPO | $0.36 |
| Blue Cross - Wy | Wellmark PPO | $0.36 |
| Blue Cross - Vt | Wellmark PPO | $0.36 |
| BCBS Generic | Wellmark PPO | $0.36 |
| Blue Cross - Federal | Wellmark PPO | $0.36 |
| Blue Cross - Va (Carefirst) | Wellmark PPO | $0.36 |
| Blue Benefit Administrators Of Massachusetts | Wellmark PPO | $0.36 |
| Blue Cross - Wa (Premera) | Wellmark PPO | $0.36 |
| Blue Shield - Wa (Regence) | Wellmark PPO | $0.36 |
| Blue Cross - IL | Wellmark PPO | $0.36 |
| Blue Cross - Ia (Wellmark) | Wellmark HMO | $0.36 |
| Blue Cross - Me (Anthem) | Wellmark PPO | $0.36 |
Inpatient
$3.00cash price (self-pay)
$3.00list price
$0.32–$3.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $0.36 |
| Aetna Medicare Assure Premier HMO D-Snp | Medicare | $0.36 |
| Blue Cross - Md (Carefirst) | Wellmark BCBS | $0.36 |
| Champion Health Plan Mcr Advantage | Medicare | $0.36 |
| Blue Cross - Mt | Wellmark BCBS | $0.36 |
| Champva | Tricare | $0.36 |
| Blue Cross - Ms | Wellmark BCBS | $0.36 |
| Anthem Mycare Ohio | Medicare | $0.36 |
| Blue Cross - Nh (Anthem) | Wellmark BCBS | $0.36 |
| Tricare | Tricare | $0.36 |
| Blue Shield - De (Highmark) Medciare Advantage | Medicare | $0.36 |
| Blue Cross - Ar | Wellmark BCBS | $0.36 |
| New Centry Health Careplus | Medicare | $0.36 |
| Blue Cross - Az | Wellmark BCBS | $0.36 |
| Medicare Puerto Rico | Medicare | $0.36 |
| Pace Southeast | Medicare | $0.36 |
| Paramount Medicare Advantage | Medicare | $0.36 |
| BCBS Medicare Advantage Generic | Medicare | $0.36 |
| Michigan Complete Health | Medicare | $0.36 |
| Blue Cross - CA (Anthem) Medicare Advantage | Medicare | $0.36 |
| Moda Health Medicare Advantage | Medicare | $0.36 |
| Allwell Pa Health & Wellness Medicare Advantage | Medicare | $0.36 |
| Blue Cross - Oh (Anthem) Medicare Advantage | Medicare | $0.36 |
| Optimum Healthcare Medicare Advantage | Medicare | $0.36 |
| Brand New Day Medicare Advantage | Medicare | $0.36 |
| Wellsense Health Plan Medicare Advantage | Medicare | $0.36 |
| Stephenson Cty Health | Stephenson Cty Health | $0.37 |
| Can Community Health Inc | Medicaid Iowa | $0.76 |
| Community Care Partners | Medicaid Iowa | $0.76 |
| Wc Praxis Health Network | Praxis Health Network Workers Comp | $2.55 |
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