Ondansetron injection at UPMC Childrens. CPT J2405.
What UPMC Childrens publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$79.80cash price (self-pay)
$133list price
$0.09–$476range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $0.09 |
| Aetna | CHIP | $0.10 |
| Health Plan of Upper Ohio Valley | CHIP | $0.10 |
| Health Plan of Upper Ohio Valley | Medicaid | $0.10 |
| UPMC Health Plan | Managed Medicaid | $0.10 |
| UPMC Health Plan | Managed Medicare | $0.11 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $0.14 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.19 |
| United Healthcare | All Business | $0.36 |
| United Healthcare | Compass Exchange | $0.36 |
| Aetna | Medicaid | $26.65 |
| Highmark BCBS of PA | Managed Care - Social Mission | $32.24 |
| Aetna | Medicare | $33.25 |
| Highmark BCBS of PA | Managed Care | $37.93 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $41.20 |
| Highmark BCBS of PA | Commercial - Indemnity | $48.47 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $53.20 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $54.53 |
| Aetna | Narrow Network | $56.26 |
| Geisinger | Commercial | $59.78 |
| Geisinger | Medicaid/CHIP | $59.85 |
| Aetna | Fully Insured | $62.51 |
| Cigna | New Business ASO | $62.51 |
| Cigna | NBR ASO/FI | $62.51 |
| Highmark BCBS of PA | Medicare | $66.50 |
| Aetna | Commercial | $73.15 |
| Cigna | Commercial | $73.15 |
| Cigna | EBR | $73.15 |
| Health Plan of Upper Ohio Valley | Commercial | $86.45 |
| Coventry/First Health | Childrens Coventry FirstHealth Commercial | $106 |
Inpatient
$79.80cash price (self-pay)
$133list price
$53.20–$476range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicaid | $53.20 |
| United Healthcare | Compass Exchange | $53.20 |
| Aetna | Narrow Network | $56.26 |
| Geisinger | Commercial | $59.78 |
| Aetna | Fully Insured | $62.51 |
| Cigna | New Business ASO | $62.51 |
| Cigna | NBR ASO/FI | $62.51 |
| United Healthcare | All Business | $62.51 |
| Aetna | Commercial | $73.15 |
| Cigna | Commercial | $73.15 |
| Cigna | EBR | $73.15 |
| Coventry/First Health | Childrens Coventry FirstHealth Commercial | $106 |
| Saudi Armed Forces | Commercial | $106 |
| InterGroup | PPO | $113 |
| Health Payors Organization | Commercial | $113 |
| Multiplan | Commercial/Worker's Compensation | $113 |
| National Provider Network | PPO | $120 |
| Private Health Care Systems | PPO | $120 |
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