Ondansetron injection at Saint Alphonsus Regional Medical Center. CPT J2405.
What Saint Alphonsus Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3.00cash price (self-pay)
$7.31list price
$0.07–$21,850range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magellan Behavioral Health Medicaid | Magellan Medicaid | $0.32 |
| Idaho Dept Health And Wellfare | Idaho Department Of Health Welfare | $0.32 |
| Id County Ada | Medicaid County | $0.32 |
| Molina Medicaid | Molina Im Plus Medicaid | $0.33 |
| Selecthealth | Selecthealth Saha Network Indivudial | $0.73 |
| Selecthealth | Selecthealth Saha Network Small Grp | $0.87 |
| Blue Cross - Id | Blue Cross Of Idaho Connected Care | $1.91 |
| Blue Cross - Co (Anthem) | Bci HMO | $2.12 |
| Blue Cross - Id | Bci HMO | $2.12 |
| Blue Cross - Al | Bci HMO | $2.12 |
| Blue Cross - Oh (Anthem) | Bci HMO | $2.12 |
| Blue Cross - Sd (Wellmark) | Bci HMO | $2.12 |
| Blue Distinction Transplant | Bci HMO | $2.12 |
| Blue Cross - TX | Bci HMO | $2.12 |
| Blue Cross - Tn | Bci HMO | $2.12 |
| Health Choices | Bci HMO | $2.12 |
| Blue Care Network | Bci HMO | $2.12 |
| Blue Benefit Administrators Of Massachusetts | Bci HMO | $2.12 |
| Blue Cross - Sc | Bci HMO | $2.12 |
| Blue Cross - Wa (Premera) | Bci HMO | $2.12 |
| Blue Cross - Va (Anthem) | Bci HMO | $2.12 |
| Blue Cross - Vt | Bci HMO | $2.12 |
| Blue Shield - Wa (Regence) | Bci HMO | $2.12 |
| Blue Cross - Va (Carefirst) | Bci HMO | $2.12 |
| Blue Cross - Ut (Regence) | Bci HMO | $2.12 |
| Blue Shield - NY Highmark Northeastern | Bci HMO | $2.12 |
| Blue Cross - Pa (Independence) | Bci HMO | $2.12 |
| Blue Shield - NY Highmark Western | Bci HMO | $2.12 |
| Blue Cross - Nc | Bci HMO | $2.12 |
| Blue Cross - Or (Regence) | Bci HMO | $2.12 |
Inpatient
$3.00cash price (self-pay)
$3.00list price
$0.32–$3.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Care Connections Of Northern Iowa | Medicaid | $0.32 |
| Blue Cross - Md (Carefirst) Medicaid Advantage | Medicaid | $0.32 |
| Blue Cross - Dc (Carefirst) Medicaid Advantage | Medicaid | $0.32 |
| Delaware First Health | Medicaid | $0.32 |
| Amish Mennonite | Medicaid | $0.32 |
| Centurion Of Idaho | Centurion Of Idaho | $0.32 |
| Medstar Dc Healthy Family | Medicaid | $0.32 |
| Medstar Md Health Choice | Medicaid | $0.32 |
| Blue Cross - Id Medicaid Advantage | Medicaid | $0.32 |
| Keystone First | Medicaid | $0.32 |
| Blue Cross - Oh (Anthem) Medicaid Advantage | Medicaid | $0.32 |
| County Care Medicaid Advantage | Medicaid | $0.32 |
| Rx Allwin | Medicare | $0.36 |
| Blue Cross - Ct (Anthem) | Blue Cross | $0.36 |
| Blue Cross - De (Highmark) | Blue Cross | $0.36 |
| Blue Cross - Dc (Carefirst) | Blue Cross | $0.36 |
| Blue Cross - FL | Blue Cross | $0.36 |
| Blue Cross - Ga (Anthem) | Blue Cross | $0.36 |
| Blue Cross - Hi | Blue Cross | $0.36 |
| Blue Cross - Id | Blue Cross | $0.36 |
| Avmed Medicare | Medicare | $0.36 |
| Careplus Health Plans | Medicare | $0.36 |
| Blue Cross - Ia (Wellmark) | Blue Cross | $0.36 |
| Blue Cross - IL | Blue Cross | $0.36 |
| Blue Cross - Wi (Anthem) | Blue Cross | $0.36 |
| Genesys Pace Of Genesee County | Medicare | $0.36 |
| Community Pace At Home | Medicare | $0.36 |
| Geha | United Healthcare | $0.36 |
| Blue Cross - MA | Blue Cross | $0.36 |
| Blue Cross - Ms | Blue Cross | $0.36 |
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All common services at Saint Alphonsus Regional Medical Center