Ondansetron injection at Essentia Health-Holy Trinity Hospital (Graceville). CPT J2405.
What Essentia Health-Holy Trinity Hospital (Graceville) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2.56cash price (self-pay)
$12.04list price
$0.09–$11.57range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthPartners CARE PMAP | Medicaid | $4.68 |
| Medica Access | Medicaid | $4.79 |
| Sanford HealthPlan | Commercial-NDPERS | $5.16 |
| Sanford HealthPlan | Commercial | $5.44 |
| BCBS Nd | BCBS Mn | $6.44 |
| HealthPartners | SHP | $7.32 |
| Advocare/Security Health | Medicare | $7.46 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $7.46 |
| Freedom Blue PPO | Medicare | $7.46 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $7.46 |
| IMCARE MSHO PCC PRIME | Medicare | $7.46 |
| IMCARE MSHO REF REQ | Medicare | $7.46 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $7.46 |
| MEDICA MSHO/Dual Solutions | Medicare | $7.46 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $7.46 |
| MEDICARE ADV PFFS | Medicare | $7.46 |
| ND VA ADMINISTRATION | Medicare | $7.46 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $7.46 |
| PRIMEWEST MSHO | Medicare | $7.46 |
| Platinum Blue/Vantage Blue | Medicare | $7.46 |
| SECURE BLUE MSHO | Medicare | $7.46 |
| SECURITY HEALTH MEDICARE | Medicare | $7.46 |
| UBH COST PLAN | Medicare | $7.46 |
| UBH MSHO/MEDICARE REPLACEMENT | Medicare | $7.46 |
| UBH MSHO | Medicare | $7.46 |
| UCARE MSHO | Medicare | $7.46 |
| UHC MEDICARE ADVANTAGE | Medicare | $7.46 |
| Cigna | Commercial | $8.01 |
| HealthPartners PCC Prime | Commercial | $8.01 |
| HealthPartners | Commercial | $8.01 |
Inpatient
$2.56cash price (self-pay)
$12.04list price
$1.35–$11.57range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthPartners CARE PMAP | Medicaid | $4.68 |
| Sanford HealthPlan | Commercial-NDPERS | $5.16 |
| Sanford HealthPlan | Commercial | $5.44 |
| BCBS MN | Medicaid | $6.62 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $6.62 |
| HealthPartners | SHP | $7.32 |
| Medica Access | Medicaid | $7.50 |
| Ucare | Commercial | $7.92 |
| Cigna | Commercial | $8.01 |
| HealthPartners PCC Prime | Commercial | $8.01 |
| HealthPartners | Commercial | $8.01 |
| MN BCBS Commercial | BCBS MN | $8.43 |
| WEA | Commercial-Narrow Network | $8.67 |
| WEA | Commercial | $9.27 |
| America's PPO | Commercial | $9.33 |
| WPS | Commercial | $9.99 |
| Medica Uplan | Commercial | $10.01 |
| Medica | Commercial-FI | $10.01 |
| Medica | Commercial-SI | $10.01 |
| Aetna First Health | Commercial | $10.23 |
| Medica | IFB ACO | $10.54 |
| Medica Choice | Commercial | $10.85 |
| UHC | Commercial | $10.90 |
| UMR | Commercial | $10.90 |
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All common services at Essentia Health-Holy Trinity Hospital (Graceville)