Ondansetron injection at Allen County Regional Hospital. CPT J2405.
What Allen County Regional Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$12.00cash price (self-pay)
$20.00list price
$0.36–$20.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Managed Care (Ks) [2252] | UHC Community Plan Of Ks [22508] | $0.36 |
| Medicaid Managed Care (Ks) [2252] | Sunflower State Health [22505] | $0.36 |
| Medicaid Managed Care (Ks) [2252] | Healthy Blue Kansas [22577] | $0.37 |
| Medicaid Managed Care (Ks) [2252] | Zzzaetna Better Health Of Kansas [ | $0.37 |
| Blue Cross Blue Shield [4000] | Bc Blue Choice Allen Anderson Cushing | $0.46 |
| Blue Cross Blue Shield [4000] | Bc Cap Allen Anderson Cushing [40004] | $0.48 |
| Blue Cross Blue Shield [4000] | Bc Ks Exch HMO Allen Anderson Cushing | $0.48 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Allen Anderson Cushing | $0.48 |
| Medicare Replacement Plan [1250] | Optum UHC Medicare Advantage [12508 | $9.00 |
| Medicare Replacement Plan [1250] | UHC Medicare Complete Aarp [12509] | $9.00 |
| Medicare Replacement Plan [1250] | Aetna Medicare Advantage Legacy PPO | $9.00 |
| Medicare Replacement Plan [1250] | Aetna Medicare Advantage Legacy HMO | $9.00 |
| Medicare Replacement Plan [1250] | Bc Out Of Area Medicare Advantage [ | $9.00 |
| Medicare Replacement Plan [1250] | Humana Medicare [12505] | $9.00 |
| Medicare Replacement Plan [1250] | Medica Prime Solution Medicare Cost | $9.00 |
| Medicare Replacement Plan [1250] | Devoted Health Medicare Advantage [ | $9.45 |
| Commercial-Contracted [8000] | Providrs Care Network [80021] | $9.60 |
| Humana [7500] | Zzzhumana Commercial PPO POS [75001] | $10.62 |
| Commercial-Contracted [8000] | Medica Exchange [80075] | $12.27 |
| Commercial-Contracted [8000] | Chc Se Ks Luminare Employee Plan [80085 | $14.40 |
| Commercial-Contracted [8000] | Phcs Multiplan [80056] | $15.00 |
| First Health [5512] | First Health Medishare [55122] | $16.48 |
| First Health [5512] | First Health Misc [55116] | $16.48 |
| First Health [5512] | First Health Repricing Addrs [55113] | $16.48 |
| First Health [5512] | First Health Uprehs [55119] | $16.48 |
| First Health [5512] | Zzzfirst Health Benefit Management [55117] | $16.48 |
| Cigna [7000] | Cigna [70002] | $18.15 |
| Cigna [7000] | Cigna Connect EPO Exchange [70015] | $18.15 |
| Cigna [7000] | Cigna Healthpartners [70012] | $18.15 |
| Cigna [7000] | Cigna Leased Open Access [70008] | $18.15 |
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