Ondansetron injection at CHI Health Plainview. CPT J2405.
What CHI Health Plainview publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$83.58cash price (self-pay)
$105list price
$60.70–$148range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Medicare|All Plans | $63.78 |
| Humana | Medicare|All Plans | $63.78 |
| Medica | Medicare|All Plans | $63.78 |
| PACE | Medicare|All Plans | $63.78 |
| United | Medicare|All Plans | $63.78 |
| Centene | Medicare|All Plans | $65.06 |
| Todays Options | Medicare|All Plans | $65.06 |
| Amerigroup | Medicare|All Plans | $66.97 |
| Great Plains | Medicare|All Plans | $66.97 |
| Centene | Medicaid|NE Total Care | $67.96 |
| United | Medicaid|Community Plan | $67.96 |
| IAMolina | Medicaid|All Plans | $70.68 |
| BCBS - NE | Commercial|BluePrint | $94.36 |
| Medica | Commercial|All Other Plans | $95.14 |
| Medica | Commercial|CHI Health | $95.14 |
| BCBS - NE | Commercial|All Other Plans | $99.33 |
| United | Commercial|All Plans | $99.33 |
| Greater Omaha Packing | Commercial|Broad Network | $100 |
| Greater Omaha Packing | Commercial|Narrow Network | $100 |
| Medica | Commercial|ACO | $100 |
| Medica | Commercial|Open Access | $100 |
| Midlands Choice | Commercial|Premier | $100 |
| Midlands Choice | Commercial|Standard | $100 |
| Millard Public Schools | Commercial|Broad Network | $100 |
| Millard Public Schools | Commercial|Narrow Network | $100 |
| One World | Commercial|Broad Network | $100 |
| One World | Commercial|Narrow Network | $100 |
| QuikTrip | Commercial|All Plans | $100 |
| Timpte | Commercial|Broad Network | $100 |
| MultiPlan | Commercial|All Plans | $102 |
Inpatient
$83.58cash price (self-pay)
$105list price
$89.80–$107range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $94.36 |
| Medica | Commercial|All Other Plans | $95.14 |
| Medica | Commercial|CHI Health | $95.14 |
| BCBS - NE | Commercial|All Other Plans | $99.33 |
| United | Commercial|All Plans | $99.33 |
| Greater Omaha Packing | Commercial|Broad Network | $100 |
| Greater Omaha Packing | Commercial|Narrow Network | $100 |
| Medica | Commercial|ACO | $100 |
| Medica | Commercial|Open Access | $100 |
| Midlands Choice | Commercial|Premier | $100 |
| Midlands Choice | Commercial|Standard | $100 |
| Millard Public Schools | Commercial|Broad Network | $100 |
| Millard Public Schools | Commercial|Narrow Network | $100 |
| One World | Commercial|Broad Network | $100 |
| One World | Commercial|Narrow Network | $100 |
| QuikTrip | Commercial|All Plans | $100 |
| Timpte | Commercial|Broad Network | $100 |
| MultiPlan | Commercial|All Plans | $102 |
| PHCS | Commercial|All Plans | $102 |
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