Ondansetron injection at Mercy Hospital Perry RHC III. CPT J2405.
What Mercy Hospital Perry RHC III publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$0.68cash price (self-pay)
$0.90list price
$0.09–$0.84range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centivo Contracted [320505] | Pb Pcmh Cape Stod Centivo | $0.09 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $0.09 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $0.09 |
| Medica [20239] | Pb Stl Medica | $0.09 |
| Medica Contracted [320239] | Pb Stl Medica | $0.09 |
| Meridian Medicaid Contracted [320430] | Pb Meridian IL Mcd Health Plan | $0.09 |
| Blue Cross And Blue Shield [20053] | Pb Pcmh Blue Access | $0.10 |
| Blue Cross And Blue Shield [20053] | Pb Pcmh Blue Preferred/Pathways | $0.10 |
| Mc Anthem [20455] | Pb Pcmh Blue Access | $0.10 |
| Home State Health Plan Contracted [320187] | Pb Pcmh Ambetter Exchange | $0.11 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $0.12 |
| Hope Trust Contracted [320488] | Pb Stl Pcmh Dec Hope Trust | $0.15 |
| Blue Cross And Blue Shield [20053] | Pb Pcmh Blue Traditional | $0.22 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $0.50 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $0.50 |
| Aither Health Contracted [320449] | Pb Pcmh Dec Laclede Chain | $0.77 |
| Auxiant Contracted [320462] | Pb Pcmh Dec Fcb Banks | $0.77 |
| Auxiant Contracted [320462] | Pb Pcmh Buchheit Dec | $0.77 |
| Auxiant Contracted [320462] | Pb Pcmh Dec Hydromat | $0.77 |
| Healthlink Contracted [320179] | Pb Pcmh Dec Carrollton | $0.77 |
| Imagine 360 Contracted [320494] | Pb Pcmh Dec Robinson Construction | $0.77 |
| Mercy Benefit Admin [20251] | Pb Pcmh Dec Easter Seals | $0.77 |
| Mercy Benefit Admin [20251] | Pb Pcmh Dec Quiktrip | $0.77 |
| Mercy Benefit Admin [20251] | Pb Pcmh Dec Town & Country Supermarket | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Clayco Dec | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Dec Bartel Communica | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Dec City Of Jackson | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Dec Easter Seals | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Dec Quiktrip | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Dec Sapaugh Motors | $0.77 |
Inpatient
$0.68cash price (self-pay)
$0.90list price
$0.09–$0.84range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centivo Contracted [320505] | Pb Pcmh Cape Stod Centivo | $0.09 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $0.09 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $0.09 |
| Medica [20239] | Pb Stl Medica | $0.09 |
| Medica Contracted [320239] | Pb Stl Medica | $0.09 |
| Meridian Medicaid Contracted [320430] | Pb Meridian IL Mcd Health Plan | $0.09 |
| Blue Cross And Blue Shield [20053] | Pb Pcmh Blue Access | $0.10 |
| Blue Cross And Blue Shield [20053] | Pb Pcmh Blue Preferred/Pathways | $0.10 |
| Mc Anthem [20455] | Pb Pcmh Blue Access | $0.10 |
| Home State Health Plan Contracted [320187] | Pb Pcmh Ambetter Exchange | $0.11 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $0.12 |
| Hope Trust Contracted [320488] | Pb Stl Pcmh Dec Hope Trust | $0.15 |
| Blue Cross And Blue Shield [20053] | Pb Pcmh Blue Traditional | $0.22 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $0.50 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $0.50 |
| Aither Health Contracted [320449] | Pb Pcmh Dec Laclede Chain | $0.77 |
| Auxiant Contracted [320462] | Pb Pcmh Dec Fcb Banks | $0.77 |
| Auxiant Contracted [320462] | Pb Pcmh Buchheit Dec | $0.77 |
| Auxiant Contracted [320462] | Pb Pcmh Dec Hydromat | $0.77 |
| Healthlink Contracted [320179] | Pb Pcmh Dec Carrollton | $0.77 |
| Imagine 360 Contracted [320494] | Pb Pcmh Dec Robinson Construction | $0.77 |
| Mercy Benefit Admin [20251] | Pb Pcmh Dec Easter Seals | $0.77 |
| Mercy Benefit Admin [20251] | Pb Pcmh Dec Quiktrip | $0.77 |
| Mercy Benefit Admin [20251] | Pb Pcmh Dec Town & Country Supermarket | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Clayco Dec | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Dec Bartel Communica | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Dec City Of Jackson | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Dec Easter Seals | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Dec Quiktrip | $0.77 |
| Mercy Benefit Admin Contracted [320251] | Pb Pcmh Dec Sapaugh Motors | $0.77 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.