Ondansetron injection at Seabrook Er. CPT J2405.
What Seabrook Er publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$13.00cash price (self-pay)
$27.00list price
$0.09–$41.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim | ELEVATE | $0.14 |
| Anthem | BlueChoice | $0.17 |
| Anthem Maine | BlueChoice | $0.17 |
| Anthem | FEP | $0.19 |
| Anthem | HMO | $0.19 |
| Anthem | POS | $0.19 |
| Anthem | PPO | $0.19 |
| Anthem Maine | FEP | $0.19 |
| Anthem Maine | HMO | $0.19 |
| Anthem Maine | POS | $0.19 |
| Anthem Maine | PPO | $0.19 |
| Anthem | INDEMNITY | $0.39 |
| Anthem Maine | INDEMNITY | $0.39 |
| AmeriHealth Caritas | MCD | $1.11 |
| Cigna | HMO | $1.38 |
| Cigna | PPO | $1.38 |
| Well Sense Health Plan | MCD | $2.21 |
| United | FreedomBenefitPlans | $6.94 |
| Maine Community Health | Individual | $8.45 |
| Maine Community Health | SmallGroup | $8.45 |
| Tufts Health Plan | HMO | $10.15 |
| Tufts Health Plan | PPO | $10.15 |
| Harvard Pilgrim | PPO | $11.59 |
| United | AllPayerAppendix | $12.37 |
| Maine Community Health | LargeGroup | $14.31 |
| Tufts Health Plan | POS | $15.45 |
| Aetna | EPO | $17.09 |
| Aetna | HMO | $17.09 |
| Aetna | POS | $17.09 |
| Aetna | PPO | $17.09 |
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