Ondansetron injection at Plaistow Emergency Room. CPT J2405.
What Plaistow Emergency Room publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$30.00cash price (self-pay)
$30.00list price
$0.09–$30.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military | TRICR | $0.09 |
| Martin's Point Health | TRICR | $0.09 |
| Harvard Pilgrim | INDIVIDUAL | $0.10 |
| Anthem | INDEMNITY | $0.11 |
| Harvard Pilgrim | ELEVATE | $0.11 |
| Anthem | BlueChoice | $0.12 |
| Harvard Pilgrim | HMO | $0.13 |
| Harvard Pilgrim | POS | $0.13 |
| Anthem | FEP | $0.14 |
| Anthem | HMO | $0.14 |
| Anthem | POS | $0.14 |
| Anthem | PPO | $0.17 |
| AmeriHealth Caritas | MCD | $0.93 |
| Well Sense Health Plan | MCD | $2.25 |
| Cigna | HMO | $2.32 |
| Cigna | PPO | $2.32 |
| United | FreedomBenefitPlans | $6.30 |
| Maine Community Health | Individual | $9.38 |
| Maine Community Health | SmallGroup | $9.38 |
| United | AllPayerAppendix | $12.60 |
| Harvard Pilgrim | PPO | $13.50 |
| Maine Community Health | LargeGroup | $15.90 |
| Tufts Health Plan | POS | $17.16 |
| Tufts Health Plan | HMO | $17.68 |
| Tufts Health Plan | PPO | $17.68 |
| Aetna | HMO | $17.85 |
| United | OptionsPPO | $18.21 |
| Aetna | EPO | $20.04 |
| Aetna | POS | $20.04 |
| Aetna | PPO | $20.04 |
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