Ondansetron injection at MaineHealth - Memorial Hospital. CPT J2405.
What MaineHealth - Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$3.70cash price (self-pay)
$3.70list price
$0.09–$3.48range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $0.09 |
| Aetna | Medicare Advantage | $0.68 |
| Humana | Medicare Advantage | $0.68 |
| United Healthcare | Medicare Advantage | $0.68 |
| Anthem | Medicare Advantage | $1.30 |
| Wellcare | Medicare Advantage | $1.31 |
| Community Health Options | Commercial | $1.56 |
| Harvard Pilgrim Healthcare | Maine's Choice | $1.60 |
| Aetna | HMO/PPO | $1.66 |
| Harvard Pilgrim Healthcare | Commercial | $1.77 |
| Cigna | Commercial | $1.98 |
| Multiplan | Commercial | $3.48 |
| United Healthcare | Commercial | $3.48 |
Inpatient
$3.70cash price (self-pay)
$3.70list price
$2.95–$3.48range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | HMO/POS/PPO Pathway Enhanced | $2.95 |
| Community Health Options | Commercial | $2.96 |
| Harvard Pilgrim Healthcare | Maine's Choice | $3.10 |
| Cigna | Commercial | $3.12 |
| Aetna | HMO/PPO | $3.20 |
| Harvard Pilgrim Healthcare | Commercial | $3.44 |
| Multiplan | Commercial | $3.48 |
| United Healthcare | Commercial | $3.48 |
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