Ondansetron injection at HSS West Side Outpatient Center. CPT J2405.

What HSS West Side Outpatient Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$0.54cash price (self-pay)

$3.00list price

$0.07–$6.00range insurers pay

Insurance plan	Negotiated rate
Blue Cross Blue Shield NY [1022] \| BCBS Connection [102217]	$1.02
Blue Cross Blue Shield NY [1022] \| BCBS Nyship Empire Plan [102209]	$1.50
Blue Cross Blue Shield NY [1022] \| BCBS EPO [102204]	$1.50
Blue Cross Blue Shield NY [1022] \| BCBS HMO [102207]	$1.50
Blue Cross Blue Shield NY [1022] \| BCBS NYC Healthline [102208]	$1.50
Blue Cross Blue Shield Nj [1023] \| BCBS Nj PPO [102302]	$1.50
Blue Cross Blue Shield NY [1022] \| BCBS Federal [102202]	$1.50
Blue Cross Blue Shield NY [1022] \| BCBS NY Empire [102201]	$1.55
Blue Cross Blue Shield NY [1022] \| BCBS Blue Access [102216]	$1.55
Cigna [1035] \| Cigna Great West [103506]	$1.59
Daniel H Cook - Cigna [1339] \| Daniel H Cook - Cigna [133900]	$1.59
Cigna [1035] \| Cigna HMO [103503]	$1.59
Trustmark - Cigna [1343] \| Trustmark - Cigna [134300]	$1.59
Cigna [1035] \| Cigna Indemnity [103505]	$1.59
Nalc [1090] \| Nalc [109000]	$1.59
Cigna [1035] \| Cigna PPO [103504]	$1.59
Cigna [1035] \| Cigna EPO [103502]	$1.59
Wellfleet [1361] \| Wellfleet - Cigna [136100]	$1.59
Cigna [1035] \| Cigna [103500]	$1.59
Cigna [1035] \| Cigna International [103507]	$1.77
Emblem Health [1043] \| Emblem Ghi Medical [104300]	$2.16
Aetna [1003] \| Aetna HMO [100306]	$2.16
Emblem Health [1043] \| Emblem Ghi Dc 37 City Plan [104316]	$2.16
Aetna [1003] \| Aetna Select Choice [100304]	$2.16
Emblem Health [1043] \| Emblem Ghi EPO [104303]	$2.16
Emblem BCBS Composite [9012] \| Emblem BCBS Composite [901202]	$2.16
Aetna [1003] \| Aetna EPO [100305]	$2.16
Emblem Health [1043] \| Emblem Health Hip [104301]	$2.16
Aetna [1003] \| Aetna Managed Choice [100307]	$2.16
Emblem Health [1043] \| Emblem Hip HMO [104306]	$2.16

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All common services at HSS West Side Outpatient Center