Ondansetron injection at UPMC Community Osteopathic. CPT J2405.
What UPMC Community Osteopathic publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$0.60cash price (self-pay)
$1.00list price
$0.09–$18.85range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.09 |
| Geisinger | Medicaid/CHIP | $0.09 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.09 |
| Capital Blue Cross | CHIP | $0.11 |
| Capital Blue Cross | Commercial | $0.11 |
| Keystone Health Plan | Commercial | $0.11 |
| UPMC Health Plan | CHIP | $0.11 |
| Aetna | ACO | $0.19 |
| Capital Blue Cross | Medicare Advantage | $0.20 |
| Keystone Health Plan | Medicare Advantage | $0.20 |
| Aetna | PEBTF ACO | $0.21 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.21 |
| Prime Net | Managed Medicare | $0.24 |
| Aetna | Commercial | $0.25 |
| Aetna | Medicare | $0.25 |
| UPMC Work Partners | Workers Comp | $0.43 |
| InterGroup | PPO | $0.75 |
| Prime Net | FH-Medical Rental | $0.75 |
| Wellspan Population Health | Commercial | $0.85 |
| Highmark BCBS of PA | CHIP | $18.85 |
| Highmark BCBS of PA | Commercial | $18.85 |
Inpatient
$0.60cash price (self-pay)
$1.00list price
$0.34–$0.85range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | ACO | $0.34 |
| Aetna | PEBTF ACO | $0.36 |
| Aetna | Commercial | $0.43 |
| UPMC Work Partners | Workers Comp | $0.46 |
| InterGroup | PPO | $0.75 |
| Prime Net | FH-Medical Rental | $0.75 |
| Wellspan Population Health | Commercial | $0.85 |
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