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Ondansetron injection at Sleepy Eye Medical Center. CPT J2405.

What Sleepy Eye Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$0.37cash price (self-pay)
$10.00list price
$0.14–$9.70range insurers pay
Insurance planNegotiated rate
BCBSMN Blue Plus MCD Rep Plan DOS after 1/1/19 | Default$0.14
Medicare B MN J6 | Default$0.19
Blue Cross Blue Shield of MN | Default$0.37
Blue Cross Blue Shield of MN | PPO$0.37
Aetna | Medicare Advantage$4.02
HealthPartners | Medicare Advantage$4.02
Humana | Medicare Advantage$4.02
Medica | Medicare Advantage$4.02
Medicare A MN J6 | Default$4.02
Prime West | Medicare Advantage$4.02
South Country Health Alliance SCHA | Medicare Advantage$4.02
Ucare | Medicare Advantage$4.02
United Healthcare | Medicare Advantage$4.10
VA Community Care Network VACCN Region 1-3 Optum | All Plans$4.10
Blue Cross Blue Shield of MN | Medicare Advantage$4.12
Medicaid Minnesota | Default$4.40
Prime West | Default$4.40
South Country Health Alliance SCHA | Medicaid Replacement$4.40
Ucare | Default$4.40
Ucare | Medicaid Replacement$4.40
TriWest | Default$4.67
Medica | Default$8.03
HealthPartners | Default$8.79
UMR Onalaska Midwest Securities | Default$8.83
UMR Wausau/UHIS | Default$8.83
United Healthcare | Default$8.83
Sanford Health Plan | Default$9.20
Cigna | Default$9.40
Companion Life Insurance Company | Default$9.40
Group Resources PHCS | Default$9.40
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All common services at Sleepy Eye Medical Center