Ondansetron injection at Adena Pike Medical Center. CPT J2405.
What Adena Pike Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$0.50cash price (self-pay)
$21.62list price
$0.10–$20.54range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Pathway | HMO/PPO | $0.10 |
| Anthem Ohio Exchange | HMO | $0.10 |
| Anthem | Traditional | $0.10 |
| Anthem Ohio Exchange | PPO | $0.10 |
| Aetna (Cofinity/Meritain) | Commercial | $0.23 |
| First Health | Commercial | $0.23 |
| Aetna | Medicare Advantage | $5.19 |
| Buckeye Community Health Plan | Medicare Advantage | $5.19 |
| Medical Mutual of Ohio | Medicare Advantage | $5.19 |
| Medigold | Medicare Advantage | $5.19 |
| Humana | Medicare Advantage | $5.19 |
| Molina | Medicare Advantage | $5.19 |
| Care Source | Medicare Advantage | $5.29 |
| Anthem | Medicare Advantage | $6.70 |
| Gateway Health | Commercial | $7.13 |
| Sidecar Health | Commercial | $14.27 |
| Ohio PPO Connect | Commercial | $15.13 |
| The Health Plan | Commercial | $15.13 |
| Medical Mutual of Ohio | Managed Care | $15.52 |
| Medical Mutual of Ohio SuperMed | Commercial | $15.52 |
| Great West Health Care/Cigna | Commercial | $15.65 |
| Ohio Health Choice | Commercial | $17.21 |
| United Healthcare | All Plans | $18.12 |
| Integrated Health Plan | Commercial | $20.32 |
| Multiplan/Private Healthcare Systems | Commercial | $20.54 |
| HealthSmart | Emerald Commercial Products | $20.54 |
| Three Rivers Network | Commercial | $20.54 |
Inpatient
$0.50cash price (self-pay)
$21.62list price
$0.63–$20.54range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Ohio Exchange | HMO | $13.71 |
| Anthem Ohio Exchange | PPO | $13.71 |
| Ohio PPO Connect | Commercial | $15.13 |
| The Health Plan | Commercial | $15.13 |
| Medical Mutual of Ohio SuperMed | Commercial | $15.52 |
| Medical Mutual of Ohio | Managed Care | $15.52 |
| Great West Health Care/Cigna | Commercial | $15.65 |
| Anthem | Traditional | $16.02 |
| First Health | Commercial | $16.95 |
| Ohio Health Choice | Commercial | $17.21 |
| Aetna (Cofinity/Meritain) | Commercial | $17.60 |
| Anthem Pathway | HMO/PPO | $18.16 |
| Integrated Health Plan | Commercial | $20.32 |
| Three Rivers Network | Commercial | $20.54 |
| Multiplan/Private Healthcare Systems | Commercial | $20.54 |
| HealthSmart | Emerald Commercial Products | $20.54 |
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