Ondansetron injection at Jefferson Community Health Center. CPT J2405.
What Jefferson Community Health Center publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
—cash price (self-pay)
$27.38list price
$15.05–$66.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Medicare Advantage | $16.16 |
| United Healthcare Medicare Advantage | Medicare Advantage | $16.16 |
| Blue Cross Medicare Advantage | Medicare Advantage | $16.16 |
| Blue Cross HIX | Health Exchange | $24.71 |
| Blue Cross HMO/PPO | HMO/PPO | $26.02 |
| United Healthcare HMO/PPO | HMO/PPO | $26.02 |
| Aetna HMO/PPO | HMO/PPO | $26.29 |
| Midlands Choice | HMO/PPO | $26.29 |
| Nebraska Total Care | Medicaid MCO | $27.38 |
| United Healthcare Medicaid | Medicaid MCO | $27.38 |
| Molina | Medicaid MCO | $27.38 |
Inpatient
—cash price (self-pay)
$27.38list price
$23.01–$63.36range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HIX | Health Exchange | $24.71 |
| Blue Cross HMO/PPO | HMO/PPO | $26.02 |
| United Healthcare HMO/PPO | HMO/PPO | $26.02 |
| Aetna HMO/PPO | HMO/PPO | $26.29 |
| Midlands Choice | HMO/PPO | $26.29 |
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