Ondansetron injection at New Ulm Medical Center. CPT J2405.
What New Ulm Medical Center publishes for this service, straight from its standard-charges file, last updated June 16, 2026.
Outpatient / ER
$21.99cash price (self-pay)
$40.30list price
$0.09–$40.49range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | BC PMAP (N) | $0.09 |
| Blue Cross Blue Shield of Minnesota | BC Premier(N) | $0.10 |
| BCBS | Bc Aehp (N) | $0.12 |
| Blue Cross Blue Shield of Minnesota | BC High Value/Performance Networ | $0.13 |
| Blue Cross Blue Shield of Minnesota | BC State Health Plan (N) | $0.14 |
| BC AWARE/Blue Plus (NR) | BC AWARE/Blue Plus (NR) | $0.23 |
| UCare PMAP (A B C D E G N O S U R H) | UCare PMAP (ABDMNORSUV) | $8.11 |
| Medica Health System | Medica PMAP (N) | $12.82 |
| Medicaid | Medicaid MA (N) | $17.64 |
| Medicare Other | All Other Medicare (N) | $17.84 |
| Medica | Medica Medicare (R) | $17.90 |
| Medica Health System | Medica Dual Solutions (R) | $18.13 |
| BCBS | BC Medicare (N) | $18.73 |
| All Other Medicaid | All Other Medicaid (N) | $19.34 |
| South Country Health Alliance | SCHA MSHO (N) | $19.94 |
| South Country Health Alliance | SCHA PMAP (N) | $20.89 |
| Aetna | Aetna Elevate (N R) | $24.94 |
| Aetna | Aetna Performance (N R) | $26.94 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $31.09 |
| Medica UBH PMAP | Medica UBH PMAP (N) | $32.24 |
| Hpi-Cigna | Hpi Cigna (N) | $32.96 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $33.85 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $33.85 |
| Medica UBH (N) | Medica UBH (N) | $33.85 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $34.43 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $40.30 |
Inpatient
$21.99cash price (self-pay)
$40.30list price
$24.05–$40.49range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Elevate (N R) | $24.69 |
| Aetna | Aetna Performance (N R) | $26.67 |
| Medica UBH (N) | Medica UBH (N) | $28.21 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $31.09 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $33.85 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $33.85 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $34.09 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $40.30 |
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