Ondansetron injection at Samaritan Lebanon Community Hospital. CPT J2405.
What Samaritan Lebanon Community Hospital publishes for this service, straight from its standard-charges file, last updated January 31, 2026.
Outpatient / ER
$0.05cash price (self-pay)
$21.00list price
$0.02–$102range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Providence | EPO - Pebb/Oebb | $0.10 |
| Providence | EPO - Non Pebb/Oebb | $0.10 |
| Providence | Individual-Standard | $0.10 |
| Providence | Medicare Adv. | $6.09 |
| Providence | MA-Behavioral Health | $6.09 |
| Samaritan | Medicare Adv. | $6.15 |
| Healthnet | Medicare Adv. | $6.70 |
| Regence | Medicare Adv. | $6.70 |
| Pacificsource | Medicare Adv. | $6.82 |
| Devoted Health | Devoted Health Mcr Advantage | $7.00 |
| Samaritan | EPO | $14.70 |
| Samaritan | Samaritan Choice | $16.80 |
| Samaritan | Samaritan Group | $17.85 |
| Regence | All Products | $18.88 |
| Aetna | All Products | $19.95 |
| Cigna | All Products | $20.37 |
| Healthnet | All Products | $20.37 |
Inpatient
$0.05cash price (self-pay)
$21.00list price
$0.02–$102range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Providence | EPO - Pebb/Oebb | $20.37 |
| Providence | Individual-Standard | $20.37 |
| Providence | EPO - Non Pebb/Oebb | $20.37 |
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