Ondansetron injection at Advocate Good Samaritan Hospital. CPT J2405.
What Advocate Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated November 4, 2025.
Outpatient / ER
$14.91cash price (self-pay)
$29.96list price
$0.15–$24.87range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Charter | Commercial | $0.15 |
| United Healthcare Nexus | Commercial | $0.15 |
| United Healthcare | HMO | $0.30 |
| United Healthcare Core Navigate | Commercial | $0.30 |
| Cigna | Commercial | $1.60 |
| Cigna One Health | Commercial | $1.60 |
| Advocate Employee | Commercial | $11.80 |
| Aetna | Commercial | $16.16 |
| Blue Cross Blue Shield City of Chicago | Commercial | $21.81 |
| Blue Cross Blue Shield Blue Precision | Managed Care | $23.16 |
| Blue Cross Blue Shield | HMO | $23.61 |
| Blue Cross Blue Shield Choice | Commercial | $23.61 |
| Multiplan | Commercial | $23.97 |
| Private Healthcare Systems | Commercial | $23.97 |
| Blue Cross Blue Shield | PPO | $24.84 |
Inpatient
$14.91cash price (self-pay)
$29.96list price
$13.03–$24.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocate Employee | Commercial | $13.09 |
| Private Healthcare Systems | Commercial | $18.58 |
| Multiplan | Commercial | $23.97 |
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