Ondansetron injection at Fairview Hospital. CPT J2405.
What Fairview Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$2.44cash price (self-pay)
$17.38list price
$0.09–$294range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point32Health | Comm Harvard | $0.21 |
| Other Government | Tri Tricare | $0.53 |
| Medicare | MCR Traditional Medicare | $0.54 |
| Blue Cross | MCRManaged Blue Cross VT Medicare HMO | $0.54 |
| Fallon | MCRManaged Fallon Medicare Advantage | $0.54 |
| Fallon | MCRManaged Fallon Medicare SCO | $0.54 |
| Medicare | MCRManaged Medicare HMO | $0.54 |
| Hospice | Comm Hospice | $0.55 |
| Other Government | MCR Miscellaneous | $0.55 |
| CommCare Alliance | MCRManaged CCA One Care | $0.55 |
| Health New England | MCRManaged HNE Medicare Advantage | $0.55 |
| Other Government | MCRManaged USA Family | $0.55 |
| Other Government | MCRManaged VA | $0.55 |
| United Healthcare | Oth United VACCN | $0.55 |
| Comm Fallon QHP | Comm Fallon QHP | $0.86 |
| Unicare | Comm Wellpoint (Unicare) | $0.89 |
| Aetna | Comm Aetna | $1.01 |
| Comm HNE HMO | Comm HNE HMO | $3.40 |
| Health New England | Comm HNE | $3.61 |
| Comm HNE PPO | Comm HNE PPO | $3.61 |
| Fallon | MCDManaged Fallon Medicaid ACO | $6.84 |
| Point32Health | Comm Tufts QHPSUB (Network) | $9.87 |
| Workers Comp | WC Workers Comp | $11.08 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $11.23 |
| Allways NHP | Comm NHP | $11.24 |
| United Healthcare | Comm United BH | $11.30 |
| Blue Cross | Comm Blue Cross VT PPO | $12.68 |
| United Healthcare | Comm UnitedHealthcare | $14.95 |
| Capital District Physicians' Health Plan | Comm CDPHP | $15.64 |
| Cigna | Comm Cigna Carelink | $15.64 |
Inpatient
$2.44cash price (self-pay)
$17.38list price
$1.45–$30.58range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point32Health | Comm Tufts QHPSUB (Network) | $9.82 |
| Point32Health | MCDManaged Tufts (Network) | $9.82 |
| Workers Comp | WC Workers Comp | $11.08 |
| Allways NHP | Comm NHP | $11.24 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $11.27 |
| Blue Cross | Comm Blue Cross VT PPO | $12.52 |
| Aetna | Comm Aetna | $13.12 |
| Point32Health | Comm Tufts | $13.76 |
| United Healthcare | Comm UnitedHealthcare | $14.95 |
| Capital District Physicians' Health Plan | Comm CDPHP | $15.64 |
| MVP | Comm MVP | $15.64 |
| Oxford | Comm Oxford | $15.64 |
| Connecticare | Comm Connecticare | $16.51 |
| Consolidated Health Plans | Comm Consolidated Health | $16.51 |
| First Health | Comm First Health | $16.51 |
| Point32Health | Comm Harvard | $16.51 |
| Other Commercial | Comm Other | $16.51 |
| PHCS | Comm PHCS | $16.51 |
| Self Pay | Comm Self Pay | $16.51 |
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