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Ondansetron injection at Cypress Pointe Surgical Hospital. CPT J2405.

What Cypress Pointe Surgical Hospital publishes for this service, straight from its standard-charges file, last updated July 17, 2026.

Outpatient / ER

—cash price (self-pay)
$19.50list price
$0.10–$9.75range insurers pay
Insurance planNegotiated rate
Blue Cross | HMO$0.10
Blue Cross | PPO Fed POS$0.10
Aetna Better Health | Medicaid$2.24
Healthy Blue | Medicaid$2.24
Humana Healthy Horizons | Medicaid$2.24
LA Healthcare Connections | Medicaid$2.24
Prove Partners | Prove Partners$8.78
HMR Funding | HMR Funding$8.78
LUBA | Workers Comp$9.26
DMA Funding | DMA Funding$9.75
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All common services at Cypress Pointe Surgical Hospital