Ondansetron injection at St. Luke's Boise Standard Charges. CPT J2405.
What St. Luke's Boise Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$0.99cash price (self-pay)
$13.99list price
$0.11–$13.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna [1062] | Hb Tv Cigna | $0.43 |
| Commercial [1028] | Hb Tv Cigna | $0.43 |
| Providence [1022] | Hb Tv Cigna | $0.43 |
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes | $0.60 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Carepoint Qhp | $0.60 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Large Group | $0.60 |
| Commercial [1028] | Hb Tv Slhp Mountain Health Coop | $0.60 |
| Commercial [1028] | Hb Tv Slhp Select Health | $0.60 |
| Commercial [1028] | Hb Tv Slhp Select Health Qhp | $0.60 |
| Mountain Health Co-Op [1067] | Hb Tv Slhp Mountain Health Coop | $0.60 |
| Pacificsource [1020] | Hb Tv Pacificsource Navigator Large Group | $0.60 |
| Pacificsource [1020] | Hb Tv Slhp Pacificsource Navigator Qhp | $0.60 |
| Select Health [1063] | Hb Tv Slhp Select Health | $0.60 |
| Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med | $9.09 |
| Commercial [1028] | Hb Tv H2b | $10.49 |
| H2b [1068] | Hb Tv H2b | $10.49 |
| Pacificsource [1020] | Hb Tv Pacificsource PPO Voyager | $10.49 |
| Aetna [1021] | Hb Tv Bp Aetna | $11.19 |
| Commercial [1028] | Hb Tv Bp Aetna | $11.19 |
| Commercial [1028] | Hb Tv Multiplan Primary Network | $11.19 |
| Commercial [1028] | Hb Tv Va Ccn | $11.19 |
| Veterans Affairs [1056] | Hb Tv Va Ccn | $11.19 |
| Webtpa [1071] | Hb Tv Bp Aetna | $11.19 |
| Blue Cross Federal [1008] | Hb Tv Bci PPO Fep | $11.47 |
| Blue Cross Idaho [1007] | Hb Tv Bci PPO Fep | $11.47 |
| Commercial [1028] | Hb Tv United Healthcare | $11.47 |
| Geha [1065] | Hb Tv United Healthcare | $11.47 |
| United Healthcare [1025] | Hb Tv United Healthcare | $11.47 |
| United Medical Resources [1051] | Hb Tv United Healthcare | $11.47 |
| Commercial [1028] | Hb Tv Ccn First Health | $11.54 |
Inpatient
$0.99cash price (self-pay)
$13.99list price
$0.79–$11.91range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes | $3.21 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Carepoint Qhp | $3.21 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Large Group | $3.21 |
| Commercial [1028] | Hb Tv Slhp Mountain Health Coop | $3.21 |
| Commercial [1028] | Hb Tv Slhp Select Health | $3.21 |
| Commercial [1028] | Hb Tv Slhp Select Health Qhp | $3.21 |
| Mountain Health Co-Op [1067] | Hb Tv Slhp Mountain Health Coop | $3.21 |
| Pacificsource [1020] | Hb Tv Pacificsource Navigator Large Group | $3.21 |
| Pacificsource [1020] | Hb Tv Slhp Pacificsource Navigator Qhp | $3.21 |
| Select Health [1063] | Hb Tv Slhp Select Health | $3.21 |
| Select Health [1063] | Hb Tv Slhp Select Health Qhp | $3.21 |
| St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Large Gr | $3.21 |
| St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Qhp | $3.21 |
| Cigna [1062] | Hb Tv Cigna | $11.19 |
| Commercial [1028] | Hb Tv Cigna | $11.19 |
| Providence [1022] | Hb Tv Cigna | $11.19 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.