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Ondansetron injection at Diley Ridge Medical Center. CPT J2405.

What Diley Ridge Medical Center 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
$0.38–$632range insurers pay
Insurance planNegotiated rate
Healthez | Aetna Asa Meritain$1.35
Secureone Preferred United Plans | Cofinity$1.40
Valenz | Cofinity$1.40
Luminare Health | Cofinity$1.40
Health America | Cofinity$1.40
Automated Benefit Services | Cofinity$1.40
Administrative Concepts | Cofinity$1.40
Us Health And Life | Cofinity$1.40
Lucent Health | Cofinity$1.40
Christian Brothers Holy Cross | Cofinity$1.40
American Family | Cofinity$1.40
Health Choices | Cofinity$1.40
Painters Union Insurance Fund | Cofinity$1.40
Varipro | Cofinity$1.40
Ncas | Cofinity$1.40
Employee Benefit Concepts | Cofinity$1.40
Christian Brother Services | Cofinity$1.40
Plumbers Local 98 Insurance Fund | Cofinity$1.40
Continental Life Insurance | Cofinity$1.40
Jfp Benefit Management | Cofinity$1.40
Nippon Life Ins | Cofinity$1.40
Siho Insurance Services | Cofinity$1.40
Trustmark Small Business Benefits | Cofinity$1.40
Sisco Benefits | Cofinity$1.40
Aultcare | Cofinity$1.40
Healthcare Management Admin | Cofinity$1.40
Humana | Humana One$1.53
Humana | Choice Care Humana$1.53
Cigna | Cigna$1.68
Mvp | Cigna$1.68
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All common services at Diley Ridge Medical Center