Ondansetron injection at Saint Alphonsus Medical Center-Ontario. CPT J2405.
What Saint Alphonsus Medical Center-Ontario publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$4.10cash price (self-pay)
$4.10list price
$0.07–$3.98range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Id | Medicaid | $0.20 |
| Pacificsource Health Plans | Pacificsource Smart Alliance | $0.30 |
| Medicaid - Ne | Medicaid | $0.66 |
| Presbyterian Centennial Care | Medicaid | $1.23 |
| Medstar Md Health Choice | Medicaid | $1.23 |
| Sandhills Center Lme | Medicaid | $1.23 |
| Vaya Health Lme | Medicaid | $1.23 |
| Tufts Health Public Plans | Medicaid | $1.23 |
| Community Health Choice | Medicaid | $1.23 |
| Texas Children'S Health Plan | Medicaid | $1.23 |
| Priority Partners | Medicaid | $1.23 |
| Firstcare Medicaid | Medicaid | $1.23 |
| Healthfirst Medicaid Advantage | Medicaid | $1.23 |
| Affinity Health Plan Medicaid Advantage | Medicaid | $1.23 |
| Community Benefit Health | Medicaid | $1.23 |
| Blue Cross - NY (Anthem) Medicaid Advantage | Medicaid | $1.23 |
| Dscc | Medicaid | $1.23 |
| Delaware First Health | Medicaid | $1.23 |
| Highmark Wholecare Medicaid | Medicaid | $1.23 |
| Medstar Dc Healthy Family | Medicaid | $1.23 |
| Amish Mennonite | Medicaid | $1.23 |
| Partners Behavioral Lme | Medicaid | $1.23 |
| Chhuny | Medicaid | $1.23 |
| Blue Cross - NY (Excellus) Medicaid Advantage | Medicaid | $1.23 |
| Medicaid - IL | Medicaid | $1.34 |
| Humana | Humana | $1.85 |
| Pacificsource Health Plans | Pacificsource | $2.00 |
| Geha | United Healthcare | $2.02 |
| United Healthcare | United Healthcare | $2.02 |
| Cigna | Cigna | $2.31 |
Inpatient
$7.24cash price (self-pay)
$7.24list price
$0.08–$0.76range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Id | Medicaid | $0.08 |
| Medicaid - Mi | Medicaid | $0.09 |
| Humana | Humana | $0.09 |
| United Healthcare Medicare | UHC Medicare Advantage | $0.09 |
| Geha | United Healthcare | $0.09 |
| United Healthcare | United Healthcare | $0.09 |
| Pacificsource Health Plans | Pacificsource Smart Alliance | $0.10 |
| Asuris Northwest Health | Regence Bs Id PPO\Ppp | $0.12 |
| Blue Shield - Id (Regence) | Regence Bs Id PPO\Ppp | $0.12 |
| Selecthealth | Select Health | $0.12 |
| Moda Health | Moda Health Select | $0.12 |
| Mountain Health Co-Op | Mountain Health Co-Op | $0.12 |
| Healthcare Management Admin | Regence Bs Id PPO\Ppp | $0.12 |
| Selecthealth | Select Health Med Network | $0.13 |
| Pacificsource Health Plans | Pacificsource | $0.14 |
| Moda Health | Moda | $0.24 |
| Cigna | Cigna | $0.76 |
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All common services at Saint Alphonsus Medical Center-Ontario