Ondansetron injection at Valley County Health System. CPT J2405.
What Valley County Health System publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$27.00cash price (self-pay)
$30.00list price
$6.00–$29.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $6.00 |
| Medica | Medicare Advantage | $6.00 |
| United Healthcare | Medicare Advantage | $6.00 |
| Great Plains | Medicare Advantage | $6.00 |
| Humana | Medicare Advantage | $6.12 |
| Nebraska Total Care | Managed Medicaid | $14.40 |
| United Healthcare Community Plan | Managed Medicaid | $14.40 |
| Molina | Managed Medicaid/CHIP | $15.45 |
| Molina | Dual Eligible Plan | $15.75 |
| WellCare | Medicare Advantage/Dual Needs Plan | $16.38 |
| Nebraska Total Care | Medicare Advantage/Dual Needs Plan/MMP Plan | $16.50 |
| Medica | Individual and Family Business Plans | $27.30 |
| Aetna | Medicare Advantage | $28.80 |
| Blue Cross Blue Shield of Nebraska | Commercial | $28.80 |
| Medica | Commercial Plans/Care System Products | $28.80 |
| Multiplan/PHCS | Primary/Complementary PPO | $29.40 |
Inpatient
$27.00cash price (self-pay)
$30.00list price
$27.30–$29.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Individual and Family Business Plans | $27.30 |
| Blue Cross Blue Shield of Nebraska | Commercial | $28.80 |
| Medica | Commercial Plans/Care System Products | $28.80 |
| Multiplan/PHCS | Primary/Complementary PPO | $29.40 |
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