Ondansetron injection at Kenmore Mercy Hospital. CPT J2405.
What Kenmore Mercy Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1.61cash price (self-pay)
$1.61list price
$0.08–$1.68range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Independent Health [100165] | Nova [10016506] | $0.32 |
| Independent Health Medicaid [350106] | Medisource [35010601] | $0.32 |
| Independent Health Medicare [450122] | Medicare PPO Iha [45012202] | $0.32 |
| Independent Health [100165] | Commercial Iha 44 [10016501] | $0.32 |
| Independent Health [100165] | Iha Article 43 [10016502] | $0.32 |
| Independent Health Medicare [450122] | Encompass 65 [45012201] | $0.32 |
| Iha First Choice [800001] | Iha Ch First Choice [80000101] | $0.32 |
| Iha First Choice [800001] | Iha Ch First Choice Deductible Plan [80000 | $0.32 |
| Iha First Choice [800001] | Iha Non -Ch First Choice [80000102] | $0.32 |
| Independent Health Medicaid [350106] | Child Health Plus Iha Medicaid | $0.32 |
| Univera Healthcare Essential [100170] | Univera Essential Plan 3 And 4 | $0.36 |
| Univera Healthcare Essential [100170] | Univera Essential Plan 1 And 2 | $0.43 |
| Fidelis Essential [100163] | Fidelis Essential Plan 1 And 2 [10016301] | $0.45 |
| Fidelis Medicaid [350105] | Fidelis [35010501] | $0.45 |
| BCBS Medicaid [350103] | Bc Ooa Medicaid [35010301] | $0.45 |
| Wellpoint Bc Medicaid [351102] | Wellpoint Bc Chp Medicaid [35110202] | $0.48 |
| Amerigroup [350102] | Chp BCBS Amg Non Mcd [35010202] | $0.48 |
| Amerigroup [350102] | Chp BCBS Amg Mcd [35010201] | $0.48 |
| Commercial - Other [100172] | Tufts Health Plan [10017214] | $0.92 |
| Boilermakers Natl. Health [100159] | Boilermakers Natl. Health [100159 | $0.92 |
| Commercial - Other [100172] | Board Of Pensions [10017201] | $0.92 |
| Commercial - Other [100172] | Sunshine State Health Pln [10017207] | $0.92 |
| Core Source [100161] | Core Source [10016101] | $0.92 |
| Fireman'S Fund [100162] | Fireman'S Fund [10016201] | $0.92 |
| Commercial - Other [100172] | Healthy Living Partnershi [10017212] | $0.92 |
| Commercial - Other [100172] | Mutual Of Omaha [10017211] | $0.92 |
| Commercial - Other [100172] | Optum Behavioral Health [10017210] | $0.92 |
| National Association Of Letter Carriers [100067] | Nalc Health Benefit | $0.92 |
| Excellus Rochester Mcd [350117] | Excellus Rochester Mcd [35011701] | $1.61 |
| Medicaid In State [300001] | Medicaid In State [30000101] | $1.61 |
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