Ondansetron injection at HealthAlliance-Clinton, Leominster Campus. CPT J2405.

What HealthAlliance-Clinton, Leominster Campus publishes for this service, straight from its standard-charges file, last updated March 26, 2026.

Outpatient / ER

$9.35cash price (self-pay)

$9.35list price

$0.40–$294range insurers pay

Insurance plan	Negotiated rate
WELLPOINT [11112] \| All WELLPOINT (UNICARE) HA [57] Plans	$0.40
WORKERS COMPENSATION [20501] \| All WORKERS COMP HA [42] Plans	$3.07
UHC MEDICAID [11130] \| All UHC RHODY PARTNERS [271] Plans	$3.17
MEDICAID [20301] \| All MEDICAID OF MAINE [283] Plans	$4.86
INSTITUTION [10406] \| All FAIRLAWN REHAB [281] Plans	$4.96
UHC [11111] \| All UHC HA [125] Plans	$5.02
UHC [11111] \| All UHC SUREST HA [323] Plans	$5.02
HNE [11108] \| All HEALTH NEW ENGLAND HA [87] Plans	$5.22
AETNA [11101] \| All AETNA HA [147] Plans	$6.11
FALLON CONNECTORCARE [10503] \| All FALLON HMO HA [111] Plans	$6.73
FIRST HEALTH NETWORK [11120] \| All COVENTRY (FIRST HEALTH) [83] Plans	$7.01
MULTIPLAN [11109] \| All MULTIPLAN [81] Plans	$7.01
FALLON CARELON HLTH [28] \| All CARELON (FORMERLY BEACON) BH HA [38] Pl	$9.35
FALLON MCAID CARELON HLTH [29] \| All CARELON (FORMERLY BEACON) BH WELL	$9.35
CONNECTICARE [11105] \| All CATCH ALL @ 100% [217] Plans	$9.35
HP OPTUM BH [32] \| All OPTUM BEHAVIORAL HEALTH (UBH) HA [248] Plans	$9.35
GRANTS [20507] \| All FHCW GRANT [321] Plans	$9.35
CIGNA HEALTH PLAN [11104] \| All CIGNA HA [46] Plans	$12.91
HSNO/FREE CARE [10801] \| All HSNO HA [89] Plans	$294

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