Ondansetron injection at Sullivan County Community Hospital. CPT J2405.
What Sullivan County Community Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$24.75cash price (self-pay)
$37.50list price
$9.90–$42.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Essential | BCBS Essential | $11.25 |
| Mdwise Mcr Adv | Mdwise Mcr Adv | $11.25 |
| Va Ccn - All Plans | Va Ccn - All Plans | $11.25 |
| Ambetter Comm-Exch - All Plans | Ambetter Comm-Exch - All Plans | $11.25 |
| BCBS Mcr Adv | BCBS Mcr Adv | $11.25 |
| Humana Mcr Adv | Humana Mcr Adv | $11.37 |
| BCBS Healthsync | BCBS Healthsync | $13.37 |
| BCBS Pathway X | BCBS Pathway X | $13.37 |
| BCBS HMO | BCBS HMO | $16.49 |
| BCBS Pathway | BCBS Pathway | $16.70 |
| BCBS PPO | BCBS PPO | $16.70 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $19.79 |
| Siho - All Plans | Siho - All Plans | $28.12 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $31.88 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $31.88 |
| Humana Mcaid | Humana Mcaid | $37.50 |
| Mdwise Mcaid - All Other Plans | Mdwise Mcaid - All Other Plans | $37.50 |
| Mhs Mcaid - All Other Plans | Mhs Mcaid - All Other Plans | $37.50 |
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