Ondansetron injection at Mission Hospital. CPT J2405.
What Mission Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$0.33cash price (self-pay)
$19.05list price
$0.06–$19.95range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $0.34 |
| BCBS | Mgmcd | $3.50 |
| United | BHMGMCD | $3.55 |
| WellCare | MGMCD | $3.60 |
| AmeriHealth | MGMCD | $3.64 |
| Partners Health Management | MGMCD | $3.67 |
| Vaya Health | MedicaidDirect | $3.67 |
| Vaya Health | MedicaidTailoredPlan | $3.67 |
| Aetna | MCR | $4.93 |
| Cigna | Hix | $6.55 |
| Cigna | Ifp | $6.55 |
| CIGNA | NewBusiness | $6.88 |
| Caresource | Hix | $8.38 |
| United | GlobalBenefitPlanAppendix | $8.57 |
| CIGNA | ExistingBusiness | $8.78 |
| MedCost | ULTRARATE | $10.73 |
| United | OptionsPPO | $11.26 |
| Aetna | COMM | $13.39 |
| Multiplan | COMM | $15.24 |
| Avalon Administrative Services | COMM | $16.19 |
| MedCost | STANDARD | $16.19 |
| Prime Health | COMM | $16.76 |
| Prime Health | WCOMP | $16.76 |
| Prime Health | INDIGENTCARE | $17.14 |
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