Ondansetron injection at Saint Alphonsus Medical Center Baker City. CPT J2405.
What Saint Alphonsus Medical Center Baker City publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$4.10cash price (self-pay)
$14.00list price
$0.07–$14.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ghc Scw Wi Badgercare | Medicaid | $0.95 |
| Dean Wi Badgercare | Medicaid | $0.95 |
| Upper Peninsula Health Plan (Uphp) Medicaid | Medicaid | $0.95 |
| Wi Womens Wellness | Medicaid | $0.95 |
| Buckeye Health Plan Medicaid Advantage | Medicaid | $0.95 |
| Blue Cross - Md (Carefirst) Medicaid Advantage | Medicaid | $0.95 |
| California Health And Wellness | Medicaid | $0.95 |
| La Care Health Plan | Medicaid | $0.95 |
| Iowa Total Care | Medicaid | $0.95 |
| New York Cancer Services Program | Medicaid | $0.95 |
| Priority Health Medicaid | Medicaid | $0.95 |
| Medi-Cal Blue Cross | Medicaid | $0.95 |
| Bcccp-Michigan | Medicaid | $0.95 |
| Commonwealth Care Alliance Medicaid | Medicaid | $0.95 |
| Kaiser Permanente Medicaid Advantage | Medicaid | $0.95 |
| Community Care Behavorial Health | Medicaid | $0.95 |
| Mo Home State Health Plan | Medicaid | $0.95 |
| Healthy Blue Plus Mo Medicaid | Medicaid | $0.95 |
| Blue Plus Mo Medicaid | Medicaid | $0.95 |
| Nextlevel Health | Medicaid | $0.95 |
| Molina Medicaid | Medicaid | $0.95 |
| Rx Medi-Cal | Medicaid | $0.95 |
| Medicaid - MA | Medicaid | $0.95 |
| Medicaid - Md | Medicaid | $0.95 |
| Medicaid - Me | Medicaid | $0.95 |
| Medicaid - La | Medicaid | $0.95 |
| Medicaid - Ky | Medicaid | $0.95 |
| Geisinger Medicaid Advantage | Medicaid | $0.95 |
| Blue Cross Complete - Mi | Medicaid | $0.95 |
| Tenncare | Medicaid | $0.95 |
Inpatient
$3.00cash price (self-pay)
$3.00list price
$0.32–$3.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $0.36 |
| Stephenson Cty Health | Medicaid | $0.36 |
| Blue Shield - Id (Regence) Medicare Advantage | Medicare | $0.36 |
| Pace-Trinity Health | Medicare | $0.36 |
| Pace Of Southwest Michigan | Medicare | $0.36 |
| Mercy Life | Medicare | $0.36 |
| Fresno Pace Medicare | Medicare | $0.36 |
| Solis Health Plans | Medicare | $0.36 |
| Php Medicare | Medicare | $0.36 |
| Ally Align Care Adv | Medicare | $0.36 |
| Innovative Integrated Health Community Plans | Medicare | $0.36 |
| Cmh Monroe County | Medicaid | $0.36 |
| Cmh Misc | Medicaid | $0.36 |
| Cmh Muskegon County | Medicaid | $0.36 |
| Cmh Montcalm County | Medicaid | $0.36 |
| Cmh Northern Lakes County | Medicaid | $0.36 |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | Medicaid | $0.36 |
| Rx 340b Pass Along | Medicaid | $0.36 |
| Rx Retiree Rx Care | Medicare | $0.36 |
| Rx Carelonrx Medicare | Medicare | $0.36 |
| Rx Grane Grnmedd | Medicare | $0.36 |
| Reliance Community Care Partners Care Resources Pace | Medicare | $0.36 |
| Medicare Alternate Payor | Medicare | $0.36 |
| South Country Health Alliance Medicaid | Medicaid | $0.36 |
| Genex Wc | Workers Comp | $2.40 |
| Wc American Claims Mgmt | Workers Comp | $2.40 |
| Wc Praxis Health Network | Workers Comp | $2.40 |
| Wc Acuity | Workers Comp | $2.40 |
| Wc Comp One Admin C/O Manageability | Workers Comp | $2.40 |
| Rx Saif Opdp Wc | Workers Comp | $2.40 |
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All common services at Saint Alphonsus Medical Center Baker City