Ondansetron injection at Mercy Hospital Ada. CPT J2405.
What Mercy Hospital Ada publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$1.12cash price (self-pay)
$11.00list price
$0.18–$147range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Ada Ok Medicaid (Soonercare) | $0.81 |
| Aetna Medicaid Contracted [320009] | Hb Ada Ok Medicaid (Soonercare) | $0.81 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Ada Ok Medi | $0.81 |
| Humana Medicaid Contracted [320486] | Hb Ada Ok Medicaid (Soonercare) | $0.81 |
| Health Choice Contracted [320166] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, L | $0.99 |
| Medica Contracted [320239] | Hb Ada Medica Exchange | $1.34 |
| United Healthcare Contracted [320396] | Hb Ada UHC | $1.44 |
| United Healthcare Contracted [320396] | Hb Ada UHC Exchange | $1.44 |
| United Medical Resources Contracted [320454] | Hb Ada UHC | $1.44 |
| Webtpa Contracted [320417] | Hb Oklc Heart Hospital Employer | $13.65 |
| Osma Health Contracted [320292] | Hb Ada Osma | $14.62 |
| Mercy Benefit Admin Contracted [320251] | Hb Ada, Ardm, Hmh, Kgfer, Lg | $19.50 |
| United Medical Resources Contracted [320454] | Hb Ada Network Affiliat | $19.50 |
| Aither Health Contracted [320449] | Hb Oklc Ada Ardm Woodard Dec New 0 | $19.50 |
| Aither Health Contracted [320449] | Hb Oklc Ada Ardm Laclede Chain Dec | $19.50 |
| Auxiant Contracted [320462] | Hb Ada Network Affiliation | $19.50 |
| Auxiant Contracted [320462] | Hb Oklc Ada Ardm City Of Jackson Dec | $19.50 |
| Auxiant Contracted [320462] | Hb Oklc Ada Ardm Buchheit Dec | $19.50 |
| Reflect Health Contracted [320492] | Hb Oklc Ardm Ada Ww Wood Dec | $19.50 |
| Imagine 360 Contracted [320494] | Hb Oklc Ada Ardm Robinson Constructi | $19.50 |
| Ebms Contracted [320493] | Hb Oklc Ada Ardm Crader Distributing Dec | $19.50 |
| Show-Me Health Administrators Contracted [320483] | Hb Ada, Ardm, Hmh, | $19.50 |
| Show-Me Health Administrators Contracted [320483] | Hb Oklc Ada Ardm H | $19.50 |
| Yuzu Health Contracted [320521] | Hb Ada Ardm Oklc Level Health Dec - | $19.50 |
| Edison Health Solutions Contracted [320502] | Hb Oklc Ada Ardm Woodard | $19.50 |
| Preferred Health Plan Contracted [320522] | Hb Ada Network Affiliation | $19.50 |
| Quik Trip Contracted [320447] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, Lhcp, | $19.50 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Sapaugh Dec | $19.50 |
| Mercy Benefit Admin Contracted [320251] | Hb Ada, Ardm, Oklc Tall Tree | $19.50 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Schaefer / | $19.50 |
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