Ondansetron injection at Three Rivers Medical Center. CPT J2405.
What Three Rivers Medical Center publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$58.76cash price (self-pay)
$97.94list price
$0.10–$103range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Trad/PPO/HMO/Pw PPO - All Other Plans | Anthem Trad/PPO/HMO/Pw | $0.10 |
| United Healthcare-All Other Plans | United Healthcare-All Other Plans | $54.55 |
| Multiplan Primary Network-All Other Plans | Multiplan Primary Network- | $58.76 |
| Humana-All Other Plans | Humana-All Other Plans | $65.62 |
| Cigna-All Plans | Cigna-All Plans | $83.25 |
| Multiplan Complementary Network | Multiplan Complementary Network | $83.25 |
| Aetna-All Other Plans | Aetna-All Other Plans | $88.15 |
| Aetna Better Health Mcaid | Aetna Better Health Mcaid | $93.04 |
| Anthem Mcaid | Anthem Mcaid | $97.94 |
| Humana Choicecare Mcaid | Humana Choicecare Mcaid | $97.94 |
| United Healthcare Mcaid | United Healthcare Mcaid | $97.94 |
| Wellcare Mcaid-All Plans | Wellcare Mcaid-All Plans | $103 |
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