Ondansetron injection at Santiam Memorial Hospital. CPT J2405.
What Santiam Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 6, 2026.
Outpatient / ER
$2.00cash price (self-pay)
$27.56list price
$0.52–$61.09range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna - All Plans | Aetna - All Plans | $7.14 |
| Ihn Mcaid - All Plans | Ihn Mcaid - All Plans | $8.82 |
| Kaiser Mcaid | Kaiser Mcaid | $8.82 |
| Pacific Source Mcaid - All Other Plans | Pacific Source Mcaid - All Ot | $9.70 |
| Pacific Source Comm | Pacific Source Comm | $21.25 |
| Kaiser Comm - All Other Plans | Kaiser Comm - All Other Plans | $22.83 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $23.15 |
| Cigna - All Plans | Cigna - All Plans | $23.23 |
| Moda Comm - All Other Plans | Moda Comm - All Other Plans | $23.43 |
| Regence Comm | Regence Comm | $25.91 |
| First Choice - All Plans | First Choice - All Plans | $26.18 |
| Health Net Comm - All Other Plans | Health Net Comm - All Other Plans | $26.18 |
| Multiplan - All Other Plans | Multiplan - All Other Plans | $26.18 |
| Providence Comm - All Other Plans | Providence Comm - All Other Plans | $31.70 |
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