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Ondansetron injection at Gottlieb Memorial Hospital. CPT J2405.

What Gottlieb Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$5.46cash price (self-pay)
$28.75list price
$0.15–$28.75range insurers pay
Insurance planNegotiated rate
Aetna | All Products$0.15
UHC | Navigate Core$0.15
UHC | All Products$0.15
Cigna | HMO$8.65
Cigna | PPO$12.25
BCBS IL | Blue Choice$13.28
BCBS IL | PPO$16.53
BCBS IL | HMO$19.26
BCBS IL | Blue Precision$20.01
Aetna | FH-Medical Rental$20.99
Humana | All Products$24.09
Meridian | Medicaid$28.75
Molina | Medicaid$28.75

Inpatient

$5.46cash price (self-pay)
$28.75list price
—range insurers pay
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All common services at Gottlieb Memorial Hospital