Ondansetron injection at UMass Memorial Health-Harrington Hospital. CPT J2405.

What UMass Memorial Health-Harrington Hospital publishes for this service, straight from its standard-charges file, last updated April 3, 2026.

Outpatient / ER

$6.26cash price (self-pay)

$6.26list price

$0.39–$518range insurers pay

Insurance plan	Negotiated rate
WELLPOINT [11112] \| All WELLPOINT (UNICARE) HR [60] Plans	$0.39
AETNA [11101] \| All AETNA HR [12] Plans	$0.62
HNE [11108] \| All HEALTH NEW ENGLAND HR [294] Plans	$1.36
WORKERS COMPENSATION [20501] \| All WORKERS COMP HR [31] Plans	$3.05
MEDICAID [20301] \| All MEDICAID OF MAINE [283] Plans	$3.26
FALLON CONNECTORCARE [10503] \| All FALLON HMO HR [109] Plans	$4.50
FIRST HEALTH NETWORK [11120] \| All COVENTRY (FIRST HEALTH) [83] Plans	$4.70
CIGNA HEALTH PLAN [11104] \| All CIGNA HR [34] Plans	$4.87
EVERNORTH BEHAVIORAL HEALTH [27] \| All EVERNORTH (FORMERLY CIGNA) BEHA	$5.01
UHC [11111] \| All UHC HR [37] Plans	$5.32
UHC [11111] \| All UHC SUREST HR [324] Plans	$5.32
HP OPTUM BH [32] \| All OPTUM BEHAVIORAL HEALTH (UBH) HR [159] Plans	$6.26
MASSHEALTH MCD MBHP [38] \| All MBHP BEHAVIORAL HEALTH HR [326] Plans	$6.26
AETNA OPTUM BH [71] \| All CATCH ALL @ 100% [217] Plans	$6.26
CONNECTICARE [11105] \| All CATCH ALL @ 100% [217] Plans	$6.26
FALLON CARELON HLTH [28] \| All CARELON (FORMERLY BEACON) BH HR [15] Pl	$6.26
FALLON MCAID CARELON HLTH [29] \| All CARELON (FORMERLY BEACON) BH FALL	$6.26
WELLSENSE MCAID CARELON HLTH [21] \| All CARELON (FORMERLY BEACON) BH W	$6.26
GRANTS [20507] \| All FHCW GRANT [321] Plans	$6.26
HSNO/FREE CARE [10801] \| All HSNO HR [70] Plans	$518

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