Ondansetron injection at Sanford Westbrook Hospital. CPT J2405.
What Sanford Westbrook Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$60.28cash price (self-pay)
$75.38list price
$18.24–$70.89range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $18.25 |
| Sanford Health Plan Align | Medicare Replacement | $32.26 |
| Ucare | Medicare Replacement | $34.59 |
| Wellmark SD | Medicare Replacement | $34.59 |
| Aetna | Medicare Replacement | $34.97 |
| Great Plains Medicare Advantage | Medicare Replacement | $34.97 |
| Health Partners | Medicare Replacement | $34.97 |
| United Healthcare | Medicare Replacement | $34.97 |
| Primewest | Medicare Replacement | $35.61 |
| Primewest | Medicaid Managed Care | $38.14 |
| Security Health Plan | Commercial | $41.45 |
| Health Partners | State Employees | $51.94 |
| Sanford Health Plan | Group Health/True | $59.50 |
| Sanford Health Plan | SD Exchange True | $59.50 |
| Health Partners | Commercial | $60.30 |
| Blue Cross Blue Shield of Minnesota | State Employees | $61.66 |
| United Healthcare | Commercial + Top 20 | $62.94 |
| Aetna | Commercial | $65.50 |
| Ucare | Commercial | $66.22 |
| Medica | Choice | $66.25 |
| Cigna | Commercial | $67.84 |
| First Choice Health Network | Commercial | $67.84 |
| Healthez | Commercial | $67.84 |
| Multiplan | Commercial | $67.84 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $69.73 |
| Sanford Health Plan | Commercial/ND Pers | $70.00 |
| Sanford Health Plan | SD Exchange Commercial | $70.00 |
| Medica | Elect | $70.85 |
Inpatient
$60.28cash price (self-pay)
$75.38list price
$41.44–$71.35range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $41.45 |
| Health Partners | State Employees | $51.94 |
| Sanford Health Plan | Group Health/True | $59.50 |
| Sanford Health Plan | SD Exchange True | $59.50 |
| Health Partners | Commercial | $60.30 |
| United Healthcare | Commercial + Top 20 | $62.94 |
| Aetna | Commercial | $65.50 |
| Ucare | Commercial | $66.22 |
| Medica | Choice | $66.63 |
| Cigna | Commercial | $67.84 |
| First Choice Health Network | Commercial | $67.84 |
| Healthez | Commercial | $67.84 |
| Multiplan | Commercial | $67.84 |
| Sanford Health Plan | Commercial/ND Pers | $70.00 |
| Sanford Health Plan | SD Exchange Commercial | $70.00 |
| Medica | Elect | $71.31 |
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