Ondansetron injection at CHI Health Good Samaritan. CPT J2405.
What CHI Health Good Samaritan publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$0.25cash price (self-pay)
$5.68list price
$0.09–$10.20range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Greater Omaha Packing | Commercial|Narrow Network | $0.17 |
| Millard Public Schools | Commercial|Narrow Network | $0.17 |
| One World | Commercial|Narrow Network | $0.17 |
| BCBS - NE | Commercial|BluePrint | $0.19 |
| Medica | Commercial|All Other Plans | $0.19 |
| Medica | Commercial|CHI Health | $0.19 |
| Greater Omaha Packing | Commercial|Broad Network | $0.20 |
| Millard Public Schools | Commercial|Broad Network | $0.20 |
| One World | Commercial|Broad Network | $0.20 |
| Timpte | Commercial|Broad Network | $0.20 |
| Medica | Commercial|ACO | $0.21 |
| BCBS - NE | Commercial|All Other Plans | $0.25 |
| United | Medicaid|Community Plan | $1.20 |
| Centene | Medicaid|NE Total Care | $1.21 |
| Creighton University Employees | Commercial|All Plans | $2.79 |
| ELAP | Commercial|All Plans | $3.30 |
| United | Commercial|All Plans | $4.32 |
| Medica | Commercial|Open Access | $4.44 |
| Midlands Choice | Commercial|Premier | $4.44 |
| Midlands Choice | Commercial|Standard | $5.23 |
| MultiPlan PHCS | Commercial|All Plans | $5.29 |
Inpatient
$0.25cash price (self-pay)
$5.68list price
$0.20–$10.20range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Creighton University Employees | Commercial|All Plans | $2.79 |
| United | Commercial|All Plans | $4.32 |
| Medica | Commercial|Open Access | $4.44 |
| Midlands Choice | Commercial|Premier | $4.44 |
| Midlands Choice | Commercial|Standard | $5.23 |
| MultiPlan PHCS | Commercial|All Plans | $5.29 |
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