Ondansetron injection at Adams Memorial Hospital. CPT J2405.
What Adams Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 14, 2026.
Outpatient / ER
$1.25cash price (self-pay)
$3.47list price
$0.06–$34.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Mcaid | UHC Mcaid | $0.06 |
| UHC Mcaid 4/1/20 | UHC Mcaid 4/1/20 | $0.12 |
| Aetna - All Other Plans | Aetna - All Other Plans | $0.75 |
| Three Rivers - All Plans | Three Rivers - All Plans | $0.75 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $0.79 |
| Humana Choicecare Mcr PPO | Humana Choicecare Mcr PPO | $0.83 |
| UHC Mcr Adv | UHC Mcr Adv | $0.84 |
| Ocm Profee Only - All Plans | Ocm Profee Only - All Plans | $0.88 |
| Lutheran Preferred - All Plans | Lutheran Preferred - All Plans | $1.06 |
| Gpa - All Plans | Gpa - All Plans | $1.25 |
| Tricare - All Plans | Tricare - All Plans | $1.41 |
| First Health - All Plans | First Health - All Plans | $1.44 |
| Humana Choicecare - All Other Plans | Humana Choicecare - All Other Pl | $1.44 |
| Php Freedom/Options - All Other Plans | Php Freedom/Options - All Othe | $1.44 |
| Mhs Hlthy In | Mhs Hlthy In | $1.44 |
| Paramount Mcare | Paramount Mcare | $1.44 |
| Iu Health Mcr | Iu Health Mcr | $1.47 |
| Iu Health Comm - All Other Plans | Iu Health Comm - All Other Plans | $1.52 |
| Php Hp | Php Hp | $1.55 |
| Mdwise Hip | Mdwise Hip | $1.56 |
| Caresource Hlthy In | Caresource Hlthy In | $1.57 |
| Caresource Oh Mcare | Caresource Oh Mcare | $1.57 |
| Mhs Mcare | Mhs Mcare | $1.59 |
| Buckeye Mcaid | Buckeye Mcaid | $1.66 |
| Siho - All Plans | Siho - All Plans | $1.69 |
| Mccp - All Plans | Mccp - All Plans | $1.72 |
| Prov Ntwrk Of America - All Plans | Prov Ntwrk Of America - All Plans | $1.74 |
| Caresource Hoosier | Caresource Hoosier | $1.76 |
| Mhs Hoosier | Mhs Hoosier | $1.76 |
| Humana Choicecare Mcaid | Humana Choicecare Mcaid | $1.77 |
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