Ondansetron injection at Henry Ford Wyandotte Hospital:. CPT J2405.
What Henry Ford Wyandotte Hospital: publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
$0.13cash price (self-pay)
$7.85list price
$0.05–$152range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicaid HMO | $0.05 |
| Humana Military | Tricare | $0.08 |
| WellCare | Medicare Advantage | $0.09 |
| Priority Health | Commercial | $0.11 |
| HAP | HAP HMO_AHL_Fully Insured | $0.15 |
| Bcn | HMO | $0.19 |
| Blue Cross | BCBSM Commercial | $0.19 |
| Blue Cross | BCN Commercial | $0.19 |
| HAP | Self-Funded | $0.19 |
| Blue Cross | BCBSM GM Connected Care | $0.24 |
| Aetna | Commercial | $0.25 |
| Cofinity | Commercial | $0.61 |
| United Healthcare | UHC Commercial | $2.02 |
| Molina | Dual MI Coordinated Health | $2.36 |
| Amerihealth Caritas | Dual Products | $3.14 |
| Vitalcore | All Products | $3.93 |
| Priority Health | Priority Cigna | $5.14 |
| Multiplan | All Products | $5.26 |
| United Healthcare | Baseline Benefit Plan | $6.78 |
Inpatient
$0.13cash price (self-pay)
$7.85list price
$1.91–$152range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $4.38 |
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