Ondansetron injection at Henry Ford Jackson Hospital. CPT J2405.
What Henry Ford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
—cash price (self-pay)
$7.85list price
$0.05–$137range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicaid HMO | $0.05 |
| HAP | Commercial | $0.09 |
| Humana Military | Tricare | $0.09 |
| Priority Health | Commercial | $0.11 |
| Aetna | Commercial | $0.25 |
| Bcn | HMO | $0.26 |
| Blue Cross | BCN Commercial | $0.26 |
| Blue Cross | BCBSM Commercial | $0.26 |
| Molina | Dual MI Coordinated Health | $2.36 |
| Blue Cross | Blue Cross Complete | $3.53 |
| Vitalcore | All Products | $3.93 |
| McLaren | Commercial | $3.94 |
| Jackson County Sheriff | Jackson County Jail | $4.08 |
| Immergrun Inc | ALL PRODUCTS | $4.71 |
| United Healthcare | UHC Commercial | $5.81 |
| Priority Health | Priority Cigna | $6.80 |
| Cofinity | Commercial | $7.07 |
| FrontPath | All Products | $7.07 |
| Multiplan | All Products | $7.07 |
Inpatient
—cash price (self-pay)
$7.85list price
$1.91–$137range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $4.64 |
| United Healthcare | UHC Commercial | $5.79 |
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