Ondansetron injection at Frisbie Memorial Hospital. CPT J2405.
What Frisbie Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$14.00cash price (self-pay)
$14.00list price
$0.09–$11.20range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military | TRICR | $0.09 |
| Martin's Point Health | TRICR | $0.09 |
| Anthem | INDEMNITY | $0.11 |
| Anthem | BlueChoice | $0.12 |
| Anthem | HPN | $0.13 |
| Anthem | FEP | $0.14 |
| Anthem | HMO | $0.14 |
| Anthem | IndividualOffExhange | $0.14 |
| Anthem | POS | $0.14 |
| Anthem | PPO | $0.14 |
| AmeriHealth Caritas | MCD | $1.15 |
| Well Sense Health Plan | MCD | $1.71 |
| Cigna | HMO | $2.23 |
| Cigna | PPO | $2.23 |
| Harvard Pilgrim | INDIVIDUAL | $3.72 |
| Maine Community Health | Individual | $3.99 |
| Maine Community Health | SmallGroup | $3.99 |
| Harvard Pilgrim | ELEVATE | $4.50 |
| Tufts Health Plan | HMO | $4.80 |
| Tufts Health Plan | PPO | $4.80 |
| United | FreedomBenefitPlans | $4.80 |
| Harvard Pilgrim | HMO | $5.67 |
| Harvard Pilgrim | POS | $5.67 |
| Harvard Pilgrim | PPO | $5.67 |
| United | AllPayerAppendix | $5.87 |
| Maine Community Health | LargeGroup | $6.77 |
| Tufts Health Plan | POS | $8.01 |
| Aetna | EPO | $8.09 |
| Aetna | HMO | $8.09 |
| Aetna | POS | $8.09 |
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