Ondansetron injection at Range Regional Health Services. CPT J2405.
What Range Regional Health Services publishes for this service, straight from its standard-charges file, last updated January 29, 2026.
Outpatient / ER
$0.29cash price (self-pay)
$11.41list price
$0.05–$37.22range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | PMAP | $0.05 |
| Medica | Medicare Advantage Non-SNP | $0.09 |
| Itasca Medical Care | Managed Medicaid | $0.10 |
| Primewest | Managed Medicaid | $0.10 |
| Blue Cross of Minnesota | Aware Federal | $0.24 |
| Blue Cross of Minnesota | Aware/Blue Plus | $0.24 |
| Medica | Managed Medicaid | $3.92 |
| Medica | AccessAbility | $4.28 |
| UCare | PMAP | $4.57 |
| Medica | MSHO-Dual/Medicare Advantage SNP | $4.68 |
| UCare | Individual and Family Plans | $5.71 |
| Health Partners | Medicare Cost | $5.92 |
| Health Partners | PMAP | $6.03 |
| Sanford Health Plan | Commercial | $6.72 |
| United Healthcare | Commercial | $7.42 |
| Security Health Plan | Commercial | $8.56 |
| Health Partners | Federal | $9.36 |
| First Health | Commercial | $9.36 |
| Medica | Commercial | $9.46 |
| Health Partners | Commercial | $9.53 |
| MultiPlan | Commercial | $9.70 |
| Private Healthcare Systems | Commercial | $9.70 |
| Health Partners | Cigna Commercial | $10.01 |
| America's PPO | Commercial/EZCare/Health EZ | $10.27 |
| Wisconsin Physician Services | Commercial | $10.27 |
| Health Partners | Cigna Great West | $11.47 |
Inpatient
$0.29cash price (self-pay)
$11.41list price
$0.30–$36.66range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Cost | $5.19 |
| Health Partners | PMAP | $5.29 |
| Sanford Health Plan | Commercial | $6.72 |
| Security Health Plan | Commercial | $8.56 |
| Health Partners | Federal | $8.92 |
| Health Partners | Commercial | $9.09 |
| United Healthcare | Commercial | $9.17 |
| First Health | Commercial | $9.36 |
| Medica | Commercial | $9.50 |
| Health Partners | Cigna Commercial | $9.54 |
| MultiPlan | Commercial | $9.70 |
| Private Healthcare Systems | Commercial | $9.70 |
| America's PPO | Commercial/EZCare/Health EZ | $10.27 |
| Wisconsin Physician Services | Commercial | $10.27 |
| Health Partners | Cigna Great West | $11.36 |
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