Ondansetron injection at St. Charles Madras. CPT J2405.
What St. Charles Madras publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$71.70cash price (self-pay)
$89.62list price
$0.03–$89.62range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TRILLIUM MEDICAID [535] | Oregon Medicaid CCO | $0.14 |
| PRIMARY HEALTH OF JOSPEHINE COUNTY LLC [547] | Oregon Medicaid CCO | $0.14 |
| YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $0.14 |
| OREGON MEDICAID [500] | Oregon Medicaid | $0.14 |
| HEALTH SHARE KAISER [543] | Oregon Medicaid CCO | $0.14 |
| HEALTH SHARE PROVIDENCE [548] | Oregon Medicaid CCO | $0.14 |
| INTERCOMMUNITY HEALTH [530] | Oregon Medicaid CCO | $0.14 |
| JACKSON CARE CONNECT [542] | Oregon Medicaid CCO | $0.14 |
| AGERIGHT ADVANTAGE [142] | Medicare | $21.51 |
| WELLCARE [132] | Medicare | $21.51 |
| COVID-19 MEDICARE ALT PAYOR [805] | Medicare | $21.51 |
| VETERANS [706] | Veteran Affairs | $21.51 |
| HEALTH NET MED ADV [135] | Medicare | $21.51 |
| MEDICARE [100] | Medicare | $21.51 |
| HUMANA MC AB REBILL [176] | Medicare | $21.51 |
| MEDICARE VACCINE [999100100] | Medicare | $21.51 |
| MEDICARE ADVANTAGE GENERIC [199] | Medicare | $21.51 |
| TRICARE [705] | Tricare | $27.97 |
| PACIFICSOURCE [345] | PacificSource Navigator Group | $49.02 |
| PACIFICSOURCE [345] | PacificSource Navigator Individual | $49.02 |
| US BENEFITS [326] | Cigna | $56.46 |
| CIGNA [337] | Cigna | $56.46 |
| PROVIDENCE HEALTH PLAN [347] | Providence Health Plan Individual | $62.73 |
| Rx Internal [4100003] | Schs Hb First Choice Central Oregon Select | $73.22 |
| KAISER PERMANENTE [334] | First Choice Health Network | $77.61 |
| HEALTH NET [340] | Health Net | $84.24 |
| OTJ TRISTAR [673] | Oregon Workers Compensation | $89.62 |
| AUTO DAIRYLAND INSURANCE [617] | Auto Insurance | $89.62 |
| OTJ SEDGWICK CMS [660] | Oregon Workers Compensation | $89.62 |
| GENERIC AUTO [649] | Auto Insurance | $89.62 |
Inpatient
$71.70cash price (self-pay)
$89.62list price
—range insurers pay
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