Ondansetron injection at Sunnyview Rehabilitation Hospital. CPT J2405.
What Sunnyview Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1.95cash price (self-pay)
$3.00list price
$0.90–$3.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mvp Medicaid Advantage | Mvp Medicaid | $0.90 |
| Mvp Medicaid Advantage | Mvp Medicaid Essential 1 2 3 4 | $0.90 |
| United Healthcare Medicaid | UHC Essential Plan Medicaid | $1.20 |
| United Healthcare Medicaid | United Healthcare Medicaid Harp Chip | $1.20 |
| Bcn Domestic | Empire BCBS HMO EPO PPO Indemnity | $2.10 |
| Aetna Eap | Aetna | $2.10 |
| Blue Cross Domestic | Empire BCBS HMO EPO PPO Indemnity | $2.10 |
| Blue Care Network | Empire BCBS HMO EPO PPO Indemnity | $2.10 |
| Blue Cross - NY (Anthem) Medicare Advantage | Empire BCBS Medicare Adv | $2.10 |
| 1199 National Benefit Fund | Aetna | $2.10 |
| Blue Cross - Federal | Empire BCBS HMO EPO PPO Indemnity | $2.10 |
| Blue Cross - Oh (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $2.10 |
| Blue Cross - Sd (Wellmark) | Empire BCBS HMO EPO PPO Indemnity | $2.10 |
| Blue Cross - In (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $2.10 |
| Blue Cross - Mo (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $2.10 |
| Blue Cross - Wi (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $2.10 |
| Christian Brother Services | Aetna | $2.10 |
| Trustmark Small Business Benefits | Aetna | $2.10 |
| Mvp | Mvp Individual & Student Health Plan | $2.22 |
| Cigna Eap | Mvp Commercial Products & Cigna | $2.40 |
| Mvp | Mvp Commercial Products & Cigna | $2.40 |
| Tufts Health Plan | Mvp Commercial Products & Cigna | $2.40 |
| Harvard Pilgrim Healthcare | United Healthcare | $2.55 |
| Health New England | Multiplan | $2.70 |
| Multiplan | Multiplan | $2.70 |
| Galaxy Health Network | Galaxy Health Network PPO | $2.85 |
| Fidelis Care Medicaid Advantage | Fidelis Medicaid Mmc Harp Chp Mltc | $3.00 |
| Blue Cross - Wy | Blue Shield Of Ne New York | $3.00 |
| BCBS Generic | Blue Shield Of Ne New York | $3.00 |
| Blue Shield - CA | Blue Shield Of Ne New York | $3.00 |
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