Ondansetron injection at St. Mary Medical Center. CPT J2405.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3.00cash price (self-pay)
$5.75list price
$0.26–$5.46range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keystone First Chip | Keystone Medicaid | $0.39 |
| Keystone First | Keystone Medicaid | $0.39 |
| Keystone First Chc Medicaid | Keystone Medicaid | $0.39 |
| Pace-Trinity Health | Trinity Health Pace | $0.57 |
| Aetna Medicaid | Aetna Better Health Medicaid | $0.73 |
| Blue Cross - Pa (Independence) | Independence Blue Cross Trad Indemnit | $1.36 |
| Blue Cross - Va (Anthem) | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Vt | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Ut (Regence) | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Tn | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - TX | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Sc | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Ri | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Pa (Capital) | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Az | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Al | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Ak (Premera) | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Sd (Wellmark) | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Ne | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Oh (Anthem) | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Mo (Anthem) | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - CA (Anthem) | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Ar | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Va (Carefirst) | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Wa (Premera) | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Shield - Wa (Regence) | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Federal | Independence Blue Cross HMO/PPO | $1.55 |
| BCBS Generic | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - Ks | Independence Blue Cross HMO/PPO | $1.55 |
| Blue Cross - In (Anthem) | Independence Blue Cross HMO/PPO | $1.55 |
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