Ondansetron injection at Sanford Medical Center Mayville. CPT J2405.
What Sanford Medical Center Mayville publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$2.69cash price (self-pay)
$33.03list price
$0.81–$31.79range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $8.00 |
| Sanford Health Plan Align | Medicare Replacement | $16.32 |
| Ucare | Medicare Replacement | $17.51 |
| Aetna | Medicare Replacement | $17.70 |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $17.70 |
| Great Plains Medicare Advantage | Medicare Replacement | $17.70 |
| Health Partners | Medicare Replacement | $17.70 |
| United Healthcare | Medicare Replacement | $17.70 |
| Primewest | Medicare Replacement | $18.03 |
| Security Health Plan | Commercial | $18.16 |
| Blue Cross Blue Shield of North Dakota | Commercial | $22.38 |
| Health Partners | Commercial | $25.76 |
| Sanford Health Plan | Group Health/True/SD Exchange True | $26.07 |
| Medica | Choice | $27.25 |
| United Healthcare | Commercial | $27.58 |
| Aetna | Commercial | $28.70 |
| Ucare | Commercial | $29.02 |
| Medica | Elect | $29.13 |
| First Choice Health Network | Commercial | $29.73 |
| Healthez | Commercial | $29.73 |
| Multiplan | Commercial | $29.73 |
| Blue Cross Blue Shield of Minnesota | Commercial | $30.55 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $30.67 |
Inpatient
$2.69cash price (self-pay)
$33.03list price
$1.85–$31.79range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $18.16 |
| Health Partners | Commercial | $25.76 |
| Sanford Health Plan | Group Health/True/SD Exchange True | $26.07 |
| Medica | Choice | $27.25 |
| United Healthcare | Commercial | $27.58 |
| Aetna | Commercial | $28.70 |
| Ucare | Commercial | $29.02 |
| Medica | Elect | $29.13 |
| First Choice Health Network | Commercial | $29.73 |
| Healthez | Commercial | $29.73 |
| Multiplan | Commercial | $29.73 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $30.67 |
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