Ondansetron injection at Samaritan Pacific Communities Hospital. CPT J2405.
What Samaritan Pacific Communities 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 | Individual-Standard | $0.10 |
| Providence | EPO - Non Pebb/Oebb | $0.12 |
| Providence | Medicare Adv. | $6.93 |
| Humana | Medicare Adv. | $7.00 |
| Samaritan | Medicare Adv. | $7.00 |
| Regence | Medicare Adv. | $7.62 |
| Pacificsource | Medicare Adv. | $7.76 |
| Devoted Health | Devoted Health Mcr Advantage | $7.97 |
| Samaritan | EPO | $14.70 |
| Samaritan | Samaritan Choice | $16.80 |
| Samaritan | Samaritan Group | $17.85 |
| Regence | All Products | $18.88 |
| Aetna | All Products | $19.95 |
| Moda | Connexus-Synergy-Ohsu PPO | $19.95 |
| Cigna | All Products | $20.37 |
| Healthnet | All Products | $20.37 |
| Humana | All Products | $20.48 |
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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All common services at Samaritan Pacific Communities Hospital