Ondansetron injection at IU Health Jay Hospital. CPT J2405.
What IU Health Jay Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$1.39cash price (self-pay)
$3.59list price
$0.17–$37.28range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elevance Health | All PPO | $0.17 |
| Elevance Health | All Traditional Plans | $0.17 |
| Elevance Health | All IUHP Employee Plans | $0.17 |
| Aetna | HMO - Coventry Plans | $0.22 |
| Aetna | PPO - IN Preferred | $0.22 |
| Aetna | PPO/POS | $0.22 |
| Aetna | POS - Cox Medical Plans | $0.22 |
| SIHO Insurance Services | HMO/POS Plans | $0.25 |
| SIHO Insurance Services | All PPO Plans | $0.25 |
| Elevance Health | All HMO/POS | $1.44 |
| Self-Pay | Other - Self-Pay | $1.61 |
| Suburban Health Organization | PPO - Witham Health Services | $1.88 |
| Suburban Health Organization | PPO - Direct | $1.88 |
| Deaconess Health System | All Managed Care | $2.08 |
| Community Health Direct | HMO - LaPorte Regional Plans | $2.12 |
| Cigna | PPO | $2.20 |
| Cigna | PPO - New Business | $2.20 |
| Cigna | HMO - Open Access | $2.20 |
| Cigna | HMO/POS - Arnett Hospital Plans | $2.20 |
| Cigna | HMO | $2.20 |
| Parkview Health | HMO - Employee Plans | $2.22 |
| Unified Group Services | HMO | $2.23 |
| Lutheran Health Network | All Managed Care | $2.51 |
| United Healthcare | All Managed Care | $2.55 |
| Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $2.58 |
| Parkview Health | EPO | $2.59 |
| Aetna | PPO - First Health | $2.62 |
| Aetna | PPO - NAP | $2.62 |
| Lutheran Preferred | All PPO Plans | $2.87 |
| Parkview Health | PPO | $2.96 |
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