Ondansetron injection at Good Samaritan University Hospital. CPT J2405.
What Good Samaritan University Hospital publishes for this service, straight from its standard-charges file, last updated February 19, 2026.
Outpatient / ER
—cash price (self-pay)
$50.00list price
$0.11–$76.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS-NY Empire | Blue Access Large Group | $0.11 |
| BCBS-NY Empire | Blue Access Small Group | $0.11 |
| BCBS-NY Empire | Commercial | $0.11 |
| APWU | Commercial | $0.89 |
| Centivo | PPO Cigna Medical | $0.89 |
| Cigna | Commercial | $0.89 |
| Daniel H Cook | Associates | $0.89 |
| Brighton | Create Flex | $10.00 |
| Brighton | Create IDN | $10.00 |
| Health First | Medicare | $10.00 |
| Health Plus | CHILD HEALTH PLUS | $10.50 |
| Health Plus | ESSENTIAL PLAN 1&2 | $10.50 |
| Health Plus | ESSENTIAL PLAN 3&4 | $10.50 |
| Health Plus | HARP | $10.50 |
| American Plan Administrators | Commercial | $12.50 |
| Amerihealth Administrators | Commercial | $12.50 |
| Benefit Services | Commercial | $12.50 |
| Emblem Health | Commercial | $12.50 |
| GHI CBP NY City Employee Alternate | Commercial | $12.50 |
| Aetna | Commercial | $15.00 |
| Aetna | Narrow Network | $15.00 |
| Centers Plan For Healthy Living | Medicare | $15.00 |
| Centivo | Commercial | $20.00 |
| Emblem Health | Medicare HMO | $20.00 |
| Brighton | Direct Plus | $27.50 |
| Brighton | LOCAL 3 MAGNA JIB | $27.50 |
| Brighton | PPO | $30.00 |
| Allied Wellfare Fund | Commercial | $32.50 |
| American Group Administrators | Commercial | $32.50 |
| Bakery & Confectionery Union | Commercial | $32.50 |
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