Ondansetron injection at Spencer Municipal Hospital. CPT J2405.
What Spencer Municipal Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$15.75cash price (self-pay)
$21.00list price
$0.09–$237range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Medicare Advantage | $0.09 |
| Wellpoint | Medicare Advantage | $0.09 |
| Aetna | Medicare Advantage (HMO & PPO) | $0.09 |
| Humana | Medicare Advantage (ALL) | $0.09 |
| UHC | Medicare Advantage | $0.12 |
| Health Partners | ALL | $16.80 |
| Aetna | Commercial HMO | $18.90 |
| UHC Commercial | ALL | $18.90 |
| Aetna | Commercial PPO | $19.95 |
| Humana | Commercial | $19.95 |
| Midlands Choice | All | $19.95 |
| Wellmark | HMO | $216 |
| Wellmark | PPO | $237 |
Inpatient
$15.75cash price (self-pay)
$21.00list price
$0.08–$237range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Medicare Advantage | $0.08 |
| Wellmark | Medicare Advantage | $0.09 |
| Wellpoint | Medicare Advantage | $0.09 |
| Aetna | Medicare Advantage (HMO & PPO) | $0.09 |
| Humana | Medicare Advantage (ALL) | $0.09 |
| Health Partners | ALL | $16.80 |
| Aetna | Commercial HMO | $18.90 |
| UHC Commercial | ALL | $18.90 |
| Aetna | Commercial PPO | $19.95 |
| Humana | Commercial | $19.95 |
| Midlands Choice | All | $19.95 |
| Wellmark | HMO | $216 |
| Wellmark | PPO | $237 |
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