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Ondansetron injection at Summit Surgical. CPT J2405.

What Summit Surgical publishes for this service, straight from its standard-charges file, last updated August 19, 2026.

Outpatient / ER

$1.60cash price (self-pay)
$12.00list price
$0.36–$2.40range insurers pay
Insurance planNegotiated rate
Sunflower State (KanCare) | Medicaid MCO$0.36
BCBS Kansas | Commercial / BlueCard$0.52
TRICARE | Default$0.60
Aetna | Commercial$1.80
Medicare | Traditional Medicare (OPPS)$2.00
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All common services at Summit Surgical