Ondansetron injection at Saint Luke's North Hospital. CPT J2405.
What Saint Luke's North Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$7.50cash price (self-pay)
$20.10list price
$0.36–$45.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Managed Care (Ks) [2252] | UHC Community Plan Of Ks [22508] | $0.36 |
| Medicaid Managed Care (Ks) [2252] | Healthy Blue Kansas [22577] | $0.37 |
| Medicaid Managed Care (Ks) [2252] | Sunflower State Health [22505] | $0.40 |
| United Healthcare [3000] | Zzzuhc Slhs Umr Choice Plus [30021] | $0.45 |
| United Healthcare [3000] | UHC [30008] | $0.60 |
| United Healthcare [3000] | UHC Choice Plus PPO Umr [30002] | $0.60 |
| United Healthcare [3000] | UHC Geha [30015] | $0.60 |
| United Healthcare [3000] | UHC Oxford Select [30000] | $0.60 |
| United Healthcare [3000] | UHC Shared Services [30014] | $0.60 |
| Commercial-Contracted [8000] | Medica Exchange [80075] | $0.72 |
| Blue Cross Blue Shield [4000] | Bc Kc Ucm Kcmo Blue Select Plus [40029 | $0.88 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Hpn [40034] | $0.93 |
| Blue Cross Blue Shield [4000] | Bc Kc Hpn [40033] | $0.93 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue Exchange [40 | $1.01 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue [40018] | $1.03 |
| Blue Cross Blue Shield [4000] | Bc Kc Federal [40012] | $1.03 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Pref Care Blue PPO [400 | $1.03 |
| Cigna [7000] | Cigna Bjc Flex Or HDHP [70017] | $3.28 |
| Cigna [7000] | Cigna [70002] | $5.40 |
| Cigna [7000] | Greatwest Cigna Open Access Plus [70005] | $5.40 |
| Cigna [7000] | Cigna Healthpartners [70012] | $5.40 |
| Cigna [7000] | Cigna Leased Open Access [70008] | $5.40 |
| Cigna [7000] | Cigna Connect EPO Exchange [70015] | $6.47 |
| Cigna [7000] | Cigna Indemnity [70004] | $8.04 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Healthlink PPO | $8.81 |
| Blue Cross Blue Shield [4000] | Freedom Network Select [40021] | $9.05 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Php [40001] | $9.05 |
| Blue Cross Blue Shield [4000] | Zzzfreedom Network Select Cerner [4000 | $9.05 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Pref Care [40010] | $12.53 |
| Blue Cross Blue Shield [4000] | Freedom Network Healthlink [40019] | $12.82 |
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