Ondansetron injection at Mercy Hospital Tishomingo. CPT J2405.
What Mercy Hospital Tishomingo publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$1.12cash price (self-pay)
$6.37list price
$0.18–$9.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Tish Ok Medicaid (Soonercare) | $0.18 |
| Aetna Medicaid Contracted [320009] | Hb Tish Ok Medicaid (Soonercare) | $0.18 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Tish Ok Med | $0.18 |
| Humana Medicaid Contracted [320486] | Hb Tish Ok Medicaid (Soonercare) | $0.18 |
| Health Choice Contracted [320166] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, L | $0.22 |
| Ambetter Contracted [320452] | Hb Tish Ambetter Exchange Medicare | $1.91 |
| Home State Health Plan Contracted [320187] | Hb Tish Ambetter Exchange | $1.91 |
| Medica Medicare Advantage Contracted [320477] | Hb Tish Medica Medicar | $2.94 |
| Provider Partners Health Plans Contracted [320450] | Hb Tish Managed M | $2.94 |
| Kindful Hospice Contracted [320434] | Hb Tish Managed Medicare 100% W/ | $2.94 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Tish Managed Medi | $2.94 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Tish Managed Medicare 10 | $2.94 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Tis | $2.94 |
| Essence Healthcare Medicare Contracted [320122] | Hb Tish Managed Medi | $2.94 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Tish Managed M | $2.94 |
| Globalhealth Contracted [320145] | Hb Tish Globalhealth Mcr 102% W/Seq | $2.99 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Tish Cigna Mc | $3.02 |
| Devoted Health Medicare Contracted [320500] | Hb Tish Devoted Health M | $3.11 |
| Mercy Benefit Admin Contracted [320251] | Hb Ada, Ardm, Hmh, Kgfer, Lg | $3.82 |
| Show-Me Health Administrators Contracted [320483] | Hb Ada, Ardm, Hmh, | $3.82 |
| Show-Me Health Administrators Contracted [320483] | Hb Oklc Ada Ardm H | $3.82 |
| Quik Trip Contracted [320447] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, Lhcp, | $3.82 |
| Medica Medicare Advantage Contracted [320477] | Hb Tish Medica Exhange | $4.08 |
| First Health Contracted [320128] | Hb Tish First Health | $4.24 |
| Healthcare Highways Plus Contracted [320175] | Hb Ada, Hmh, Kgfer, Lgn | $4.78 |
| Healthcare Highways Plus Contracted [320175] | Hb Hmh, Kgfer, Lgnok, L | $4.78 |
| Centivo Contracted [320505] | Hb Tish Centivo Mcr 165% | $4.93 |
| United Medical Resources Contracted [320454] | Hb Tish UHC | $5.02 |
| Humana Contracted [320193] | Hb Tish Humana Choicecare | $5.09 |
| Mercy Benefit Admin Contracted [320251] | Hb Tish Wtga Lgnok Kgfer Hmh | $5.41 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.