Ondansetron injection at Tj Health Samson Community Hospital. CPT J2405.
What Tj Health Samson Community Hospital publishes for this service, straight from its standard-charges file, last updated April 23, 2026.
Outpatient / ER
$3.25cash price (self-pay)
$9.00list price
$0.09–$13.39range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HMO | Blue Cross HMO | $0.09 |
| Blue Cross Path HMO | Blue Cross Path HMO | $0.09 |
| Blue Cross Path Hpn/PPO | Blue Cross Path Hpn/PPO | $0.09 |
| Blue Cross Trad - All Other Plans | Blue Cross Trad - All Other Plans | $0.09 |
| Blue Cross PPO | Blue Cross PPO | $0.09 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $7.00 |
| Blue Cross Mcr Select | Blue Cross Mcr Select | $7.65 |
| Center Care Select - All Plans | Center Care Select - All Plans | $7.65 |
| Phcs/Multiplan - All Plans | Phcs/Multiplan - All Plans | $8.46 |
| First Health - All Plans | First Health - All Plans | $8.55 |
| Aetna Better Health Mcaid - All Plans | Aetna Better Health Mcaid - Al | $9.00 |
| Caresource - All Plans | Caresource - All Plans | $9.00 |
| Humana Mcaid | Humana Mcaid | $9.00 |
| Wellcare Mcaid | Wellcare Mcaid | $9.00 |
| Molina Mcaid | Molina Mcaid | $9.27 |
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