Ondansetron injection at Mosaic Medical Center - Maryville. CPT J2405.
What Mosaic Medical Center - Maryville publishes for this service, straight from its standard-charges file, last updated September 26, 2025.
Outpatient / ER
$2.67cash price (self-pay)
$12.25list price
$0.13–$15.66range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina of Iowa | Managed Medicaid | $0.19 |
| Amerigroup of Iowa | Managed Medicaid | $0.19 |
| Iowa Total Care | Managed Medicaid | $0.19 |
| Sisco | Commercial | $8.47 |
| Cigna | Commercial | $8.47 |
| Centurion | Commercial | $8.58 |
| United Healthcare | Commercial | $9.14 |
| GEHA Shared Services | Commercial | $9.20 |
| Aetna | Commercial | $10.35 |
| Blue Cross PCB | Commercial | $10.35 |
| Healthlink Open Access | Commercial | $10.41 |
| Freedom Select Healthlink | Commercial | $10.41 |
| Blue Cross PC | Commercial | $10.84 |
| Preferred Health Professional | Commercial | $10.84 |
| Multiplan | Commercial | $11.03 |
| Aetna | Medicare Advantage | $12.25 |
| Blue Cross Blue Shield | Medicare Advantage | $12.25 |
| United Healthcare | Medicare Advantage | $12.25 |
| Ambetter | Commercial | $12.25 |
| United Healthcare of Missouri | Managed Medicaid | $12.92 |
| Home State of Missouri | Managed Medicaid | $13.48 |
| Healthy Blue of Missouri | Managed Medicaid | $15.20 |
Inpatient
$2.67cash price (self-pay)
$12.25list price
$1.25–$11.37range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $4.90 |
| Sisco | Commercial | $8.47 |
| Cigna | Commercial | $8.47 |
| GEHA Shared Services | Commercial | $9.20 |
| United Healthcare | Commercial | $9.20 |
| Healthlink Open Access | Commercial | $10.41 |
| Freedom Select Healthlink | Commercial | $10.41 |
| Blue Cross PC | Commercial | $10.41 |
| Aetna | Commercial | $10.41 |
| Blue Cross PCB | Commercial | $10.41 |
| Preferred Health Professional | Commercial | $10.41 |
| Multiplan | Commercial | $11.03 |
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