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Ondansetron injection at Northern Light AR Gould Hospital. CPT J2405.

What Northern Light AR Gould Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.

Outpatient / ER

$0.49cash price (self-pay)
$2.32list price
$0.09–$1.88range insurers pay
Insurance planNegotiated rate
Anthem | MCR Advantage$0.09
Martin's Point | MCR Advantage$0.09
UHC | MCR Advantage$0.09
Wellcare | MCR Advantage$0.09
Aetna | Commercial$1.02
Aetna | MCR Advantage$1.17
Anthem | Commercial$1.51
Anthem | Enhanced Pathways$1.51
CHO | Commercial$1.51
Harvard | Commercial$1.63
Cigna | Commercial$1.73
UHC | Commercial$1.88

Inpatient

$0.49cash price (self-pay)
$2.32list price
$1.51–$1.73range insurers pay
Insurance planNegotiated rate
Anthem | Commercial$1.51
Anthem | Enhanced Pathways$1.51
CHO | Commercial$1.51
UHC | Commercial$1.61
Aetna | Commercial$1.72
Cigna | Commercial$1.73
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All common services at Northern Light AR Gould Hospital