Ondansetron injection at Stephens Memorial Hospital. CPT J2405.
What Stephens Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$6.34cash price (self-pay)
$6.34list price
$0.09–$6.15range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $0.09 |
| Aetna | Medicare Advantage | $1.29 |
| United Healthcare | Medicare Advantage | $1.29 |
| Humana | Medicare Advantage | $1.29 |
| Anthem | Medicare Advantage | $1.32 |
| Wellcare | Medicare Advantage | $1.34 |
| Harvard Pilgrim Healthcare | Maine's Choice | $2.81 |
| Aetna | HMO/PPO | $2.96 |
| Community Health Options | Commercial | $3.09 |
| Harvard Pilgrim Healthcare | Commercial | $3.12 |
| Cigna | Commercial | $3.37 |
| Multiplan | Commercial | $5.96 |
| United Healthcare | Commercial | $6.09 |
Inpatient
$6.34cash price (self-pay)
$6.34list price
$5.53–$6.15range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $5.53 |
| Aetna | HMO/PPO | $5.79 |
| Cigna | Commercial | $5.91 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $5.92 |
| Multiplan | Commercial | $5.96 |
| Community Health Options | Commercial | $6.02 |
| United Healthcare | Commercial | $6.09 |
| Harvard Pilgrim Healthcare | Commercial | $6.15 |
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