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Ondansetron injection at MedStar Good Samaritan Hospital. CPT J2405.

What MedStar Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$0.29cash price (self-pay)
$0.87list price
$0.29–$2.51range insurers pay
Insurance planNegotiated rate
Aetna US HealthCare Inc | Aetna All HMO and PPO Plans$0.87
Aetna Medicare | Aetna Medicare$0.87
AmeriGroup | AmeriGroup DC$0.87
AmeriHealth Caritas District of Columbia | AmeriHealth$0.87
CareFirst Blue Choice Inc | All Carefirst HMO Plans$0.87
CareFirst Blue Choice Inc | All Carefirst PPO Plans$0.87
CareFirst Advantage Inc | CareFirst Medicare Advantage$0.87
Tricare | Tricare$0.87
Cigna Healthspring | Cigna Healthspring$0.87
Cigna HealthCare Mid Atlantic | All Cigna HMO$0.87
Cigna HealthCare MidAtlantic Inc | All Cigna PPO$0.87
Humana | Humana Choice Care$0.87
First Health | First Health$0.87
Pfc | Pfc$0.87
Hscsn | Hscsn$0.87
Humana | Humana Medicare Advantage$0.87
Kaiser Permanente | All Kaiser Commercial$0.87
Kaiser Permanente | Kaiser MD MCO$0.87
Kaiser Permanente | Kaiser Medicare Advantage$0.87
Kaiser Permanente | Kaiser VA MCO$0.87
United Healthcare | UnitedHealthcare Community Plan of Maryland$0.87
Magellan Behavioral Health Inc | Magellan Behavioral Health Inc$0.87
MAMSI | MAMSI MDIPA/Optimum Choice$0.87
Medstar Family Choice Inc | Medstar Family Choice DC$0.87
Medstar Family Choice | Medstar Family Choice MD$0.87
NCPPO Healthlink PPO | NCPPO$0.87
UnitedHealthcare Insurance Company | Optum VA Community Care$0.87
Private HealthCare Systems (PHCS) | Private HealthCare Systems (PHCS)$0.87
United Behavioral Health Inc | UBH All Products$0.87
United Healthcare | UHC Navigate/Core$0.87
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All common services at MedStar Good Samaritan Hospital