Ondansetron injection at Memorial Hospital of South Bend. CPT J2405.
What Memorial Hospital of South Bend publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1.83cash price (self-pay)
$25.00list price
$0.13–$45.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial (Granger) | $0.13 |
| Devoted Healthcare | Medicare Advantage | $5.00 |
| Anthem | Commercial (excludes Granger) | $5.03 |
| Anthem | HealthSync | $5.03 |
| Aetna | Medicare Advantage | $11.25 |
| CHA | Employer Group 4 | $15.00 |
| Immergrun | Commercial | $15.00 |
| MHS | Exchange | $16.25 |
| Cigna | OAP | $17.50 |
| UHC | Commercial | $18.05 |
| Aetna | Commercial | $18.40 |
| Multiplan | Commercial | $18.50 |
| CHA | Employer Group 5 | $18.75 |
| Humana | Commercial | $19.25 |
| CHA | Employer Group 6 | $20.00 |
| Cigna BH | Commercial | $20.00 |
| Plain Church | Commercial | $20.00 |
| Cigna | PPO | $20.50 |
| Heartland | Hospice | $25.00 |
Inpatient
$1.83cash price (self-pay)
$25.00list price
$0.56–$36.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Healthcare | Medicare Advantage | $5.00 |
| Multiplan | Commercial | $16.25 |
| Cigna | OAP | $17.50 |
| UHC | Commercial | $18.05 |
| Humana | Commercial | $18.25 |
| Aetna | Commercial | $18.40 |
| CHA | Employer Group 5 | $18.75 |
| CHA | Employer Group 6 | $20.00 |
| Cigna BH | Commercial | $20.00 |
| Immergrun | Commercial | $20.00 |
| Plain Church | Commercial | $20.00 |
| Cigna | PPO | $20.50 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.