Ondansetron injection at Community Hospital of Bremen. CPT J2405.
What Community Hospital of Bremen publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$16.25cash price (self-pay)
$35.00list price
$7.75–$58.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $10.85 |
| Anthem | Exchange | $10.85 |
| Anthem | Medicare Advantage | $10.85 |
| Anthem | Workers Compensation | $10.85 |
| Caresource | Exchange | $10.85 |
| Humana | Medicare Advantage | $10.85 |
| MHS | Exchange | $10.85 |
| UHC | Medicare Advantage | $10.85 |
| VA Optum | VA | $10.85 |
| Anthem | Pathway Essentials | $14.00 |
| Plain Church | Commercial | $14.00 |
| Immergrun | Commercial | $17.50 |
| Anthem | Commercial PPO | $19.18 |
| Anthem | Commercial Trad | $21.07 |
| Cigna Sagamore | Commercial | $24.33 |
| Cigna Sagamore | PPO | $24.33 |
| CHA | Employer Group 4 | $24.50 |
| Medishare Multiplan | Commercial | $26.25 |
| PHP | Commercial | $26.25 |
| Priority Health | Commercial | $26.25 |
| Aetna | Commercial | $26.46 |
| Allied Benefit | Commercial | $26.46 |
| CHA | Commercial | $26.95 |
| UHC | Commercial | $27.65 |
| Multiplan | Commercial | $28.00 |
| All Savers | Commercial | $28.70 |
| Cigna Prof Benefit | Commercial | $28.70 |
| UMR UHC | Medicare Advantage | $28.70 |
| Caresource | IN Medicaid HIP | $45.50 |
Inpatient
$16.25cash price (self-pay)
$35.00list price
$12.50–$58.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Immergrun | Commercial | $17.50 |
| Anthem | Commercial PPO | $18.61 |
| Anthem | Commercial Trad | $21.08 |
| Cigna Sagamore | Commercial | $24.33 |
| Cigna Sagamore | PPO | $24.33 |
| CHA | Employer Group 4 | $24.50 |
| Medishare Multiplan | Commercial | $26.25 |
| PHP | Commercial | $26.25 |
| Priority Health | Commercial | $26.25 |
| Aetna | Commercial | $26.46 |
| Allied Benefit | Commercial | $26.46 |
| CHA | Commercial | $26.95 |
| Multiplan | Commercial | $28.00 |
| Plain Church | Commercial | $28.00 |
| Cigna Prof Benefit | Commercial | $28.70 |
| Caresource | IN Medicaid HIP | $45.50 |
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