Ondansetron injection at UnityPoint Health - Trinity Moline. CPT J2405.
What UnityPoint Health - Trinity Moline publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$0.08cash price (self-pay)
$21.53list price
$0.02–$12.09range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark Blue Cross and Blue Shield | HMO | $0.09 |
| United Healthcare | HMO | $0.09 |
| United Healthcare | PPO | $0.09 |
| Blue Cross and Blue Shield | POS | $1.48 |
| Blue Cross and Blue Shield | PPO | $1.48 |
| Wellmark UPH Self-Funded | Commercial | $1.48 |
| Health Partners Open Network | Commercial | $5.87 |
| Medica Exchange Inspire | Commercial | $8.57 |
| Medica Exchange Insure | Commercial | $9.60 |
| Aetna | HMO | $10.80 |
| Aetna | PPO | $10.80 |
| Cigna/Midlands | Commercial | $11.41 |
Inpatient
$0.08cash price (self-pay)
$21.76list price
$0.05–$12.09range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $11.47 |
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