Ondansetron injection at Children's Hospital of Philadelphia. CPT J2405.
What Children's Hospital of Philadelphia publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$89.73cash price (self-pay)
$89.74list price
$0.18–$81.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Wholecare | All plan types | $0.18 |
| Horizon NJ Health | All plan types | $0.18 |
| UHC Community Plans PA | All plan types | $0.18 |
| Geisinger Medical Assistance | All plan types | $0.25 |
| Keystone Health Plan East | HMO | $0.28 |
| Independence Blue Cross | PPO | $0.28 |
| Keystone First Medicaid | All plan types | $14.81 |
| Health Partners | All plan types | $15.61 |
| Aetna Better Health | All plan types | $23.62 |
| UPMC Medical Assistance | All plan types | $24.50 |
| Keystone First CHIP | All CHIP plant types | $27.82 |
| Horizon Blue Cross Blue Shield of New Jersey | All plan types | $31.68 |
| Geisinger Health Plan Commercial | All plan types | $39.49 |
| Jefferson Health Plans | All plan types | $42.45 |
| Highmark | All plan types | $44.87 |
| Aetna | All plan types | $44.87 |
| Cigna HMO | HMO | $44.87 |
| Cigna PPO | PPO | $44.87 |
| Qualcare | All plan types | $49.36 |
| United Healthcare | All plan types | $49.36 |
| First Health Network | PPO | $58.33 |
| Private Health Care Systems | All plan types | $71.79 |
| Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics | All | $71.79 |
| Choice Care Network | All plan types | $80.77 |
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