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Ondansetron injection at Eastern Idaho Rmc. CPT J2405.

What Eastern Idaho Rmc publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$90.83cash price (self-pay)
$90.83list price
$0.08–$90.83range insurers pay
Insurance planNegotiated rate
Blue Cross | MLTSS$0.08
United | AllPayerAppendix$0.15
Select Health ICHN Brightpath | COMM$26.52
Select Health Idaho (EIRMC only) | SelectMed$28.97
Aetna | IdahoEnvironmentalCoalition$35.79
Doug Andrus Distributing | COMM$36.33
PacificSource Health | CCNNetworks$38.15
University of Utah | HIX$38.15
University of Utah | HMP$38.15
University of Utah | PPO$38.15
Aetna | CWI$40.87
United | GlobalBenefitPlan$40.87
Aetna | PEAKPERFERENCE$44.23
Mountain Health Co-Op | Individual$45.41
PacificSource Health | PPO$48.68
United | OptionsPPO$52.50
First Choice Health Of Washington | WCOMP$54.50
Moda | Connexus$55.50
Moda | ModaSelect$55.50
Dmba | HMO$58.49
Dmba | PPO$58.49
Mountain Health Co-Op | Group$68.12
Prime Health | INDIGENTCARE$68.12
EverNorth BH | COMM$72.66
Geha PPO Usa | Comm$72.66
TriWest Healthcare Alliance | Veterans$72.66
Multiplan | PRIMARY$76.30
Prime Health | GROUPHEALTH$77.21
Prime Health | WCOMP$77.21
First Choice of the Midwest | COMM$81.75
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All common services at Eastern Idaho Rmc