Scan my bill

Ondansetron injection at Sioux Valley Memorial Hospital Association. CPT J2405.

What Sioux Valley Memorial Hospital Association publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$21.36cash price (self-pay)
$22.11list price
$11.00–$12.16range insurers pay
Insurance planNegotiated rate
HEALTH PARTNERS | Medicare$11.72
HUMANA | Medicare$11.72
AETNA | Medicare$11.72
BLUE CROSS | Medicare$11.72
UHC | Medicare$11.72
WellPoint | Medicare$11.72
Molina | Medicaid$12.16
Iowa Total Care | Medicaid$12.16
WellPoint | Medicaid$12.16

Inpatient

$21.36cash price (self-pay)
$22.11list price
$21.00–$22.11range insurers pay
Insurance planNegotiated rate
Admin Concepts | Commercial$22.11
AETNA | Commercial$22.11
AETNA | Medicare$22.11
American Republic | Commercial$22.11
APW | All Plans$22.11
Auxiant | Commercial$22.11
Avera | Commercial$22.11
Bankers Life | Commercial$22.11
BLUE CROSS | Commercial$22.11
BLUE CROSS | Medicare$22.11
CHAMPUS | Commercial$22.11
CIGNA | Commercial$22.11
HEALTH PARTNERS | Commercial$22.11
HEALTH PARTNERS | Medicare$22.11
HUMANA | Medicare$22.11
Iowa Total Care | Commercial$22.11
Iowa Total Care | Medicaid$22.11
Liability | Commercial$22.11
MERIDIAN | Commercial$22.11
MERITAIN | Commercial$22.11
MIDLANDS | Commercial$22.11
MOLINA | Commercial$22.11
Molina | Medicaid$22.11
Mutual of Omaha | Commercial$22.11
Occunet | Commercial$22.11
PHYSICIANS MUTUAL | Commercial$22.11
Private Healthcare | Commercial$22.11
Sanford | Commercial$22.11
UHC | Commercial$22.11
UHC | Medicare$22.11
Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.

Scan my bill

All common services at Sioux Valley Memorial Hospital Association