Ondansetron injection at Penn State Health Holy Spirit Medical Center. CPT J2405.

What Penn State Health Holy Spirit Medical Center publishes for this service, straight from its standard-charges file, last updated March 27, 2026.

Outpatient / ER

$0.11cash price (self-pay)

$0.47list price

$0.09–$0.38range insurers pay

Insurance plan	Negotiated rate
[UHC] \| [Chip]	$0.09
[Upmc] \| [MA]	$0.09
[Upmc] \| [Chip]	$0.09
[Cigna] \| [Comm]	$0.14
[UHC] \| [Comm]	$0.14
[Cbc] \| [Chip]	$0.17
[Aetna] \| [Comm]	$0.24
[Aetna Signature Administrators] \| [Comm]	$0.24
[CBC] \| [Comm]	$0.24
[Geisinger] \| [Comm]	$0.32
[Preferred Healthcare Systems] \| [Comm]	$0.35
[UPMC] \| [Comm]	$0.35
[First Health] \| [Comm]	$0.38
[Multiplan] \| [Comm]	$0.38

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