Ondansetron injection at Maple Grove Hospital. CPT J2405.
What Maple Grove Hospital publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$0.15cash price (self-pay)
$40.28list price
$0.14–$32.71range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica [1086] | Mgh Medica Msho | $0.14 |
| Medica [1086] | Medica Choice Care | $0.18 |
| Medica [1086] | Medica Fv Nm - Aco Vantage | $0.30 |
| Medica [1086] | Medica Acclaim | $0.30 |
| MEDICA [1086] | MEDICA COMMERCIAL (With WH) | $0.34 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Federal | $2.00 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Aware | $2.04 |
| Blue Cross [1021] | Mgh BCBS Pmap | $2.04 |
| America'S PPO [1010] | America'S PPO Healthez Reimbursement Contract | $27.26 |
| America'S PPO [1010] | America'S PPO Reimbursement Contract | $29.00 |
| AETNA [2200] | Aetna Commercial/First Health | $30.21 |
| Phcs [1172] | Phcs Reimbursement Contract | $30.21 |
| Multiplan [1176] | Multiplan Reimbursement Contract | $32.22 |
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