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Ondansetron injection at St. Charles Prineville. CPT J2405.

What St. Charles Prineville 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
$0.14–$89.62range insurers pay
Insurance planNegotiated rate
CASCADE HEALTH ALLIANCE [532] | Oregon Medicaid CCO$0.14
COLUMBIA PACIFIC COORDINATED CARE LLC [539] | Oregon Medicaid CCO$0.14
INTERCOMMUNITY HEALTH [530] | Oregon Medicaid CCO$0.14
JACKSON CARE CONNECT [542] | Oregon Medicaid CCO$0.14
MODA MEDICAID [528] | Eastern Oregon CCO$0.14
ATRIO HEALTH MEDICARE [138] | Medicare$25.09
CHAMP VA [700] | Veteran Affairs$25.09
MEDICARE [100] | Medicare$25.09
DEVOTED HEALTH INC [145] | Medicare$25.09
HUMANA MEDICARE [130] | Medicare$25.09
KAISER PERMANENTE MED ADV [136] | Medicare$25.09
MEDICARE AB REBILL ALT PAYER [175] | Medicare$25.09
PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare$26.45
TRICARE [705] | Tricare$27.34
PACIFICSOURCE [345] | PacificSource Voyager$35.85
AETNA [321] | Aetna$77.97
PROVIDENCE HEALTH PLAN [347] | Providence Health Plan$78.42
MANHATTAN LIFE INSURANCE COMPANY [379] | First Health$87.83
FIRST HEALTH [339] | First Health$87.83
OTJ PINNACLE RISK MGMT [661] | Oregon Workers Compensation$89.62
AUTO AMERICAN FAMILY INSURANCE [603] | Auto Insurance$89.62
OTJ SEDGWICK [668] | Oregon Workers Compensation$89.62
AUTO COUNTRY INSURANCE CLAIMS [604] | Auto Insurance$89.62
OTJ HARTFORD [655] | Oregon Workers Compensation$89.62
OTJ LIBERTY MUTUAL WAUSAU UNDERWRITERS [671] | Oregon Workers Compensa$89.62
AUTO HARTFORD [612] | Auto Insurance$89.62
AUTO DAIRYLAND INSURANCE [617] | Auto Insurance$89.62
AUTO TRAVELERS INSURANCE [615] | Auto Insurance$89.62
OTJ SEDGWICK CMS [660] | Oregon Workers Compensation$89.62
OTJ SAIF [667] | Oregon Workers Compensation$89.62

Inpatient

$71.70cash price (self-pay)
$89.62list price
—range insurers pay
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All common services at St. Charles Prineville