Ondansetron injection at UPMC Hamot. CPT J2405.
What UPMC Hamot publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$7.20cash price (self-pay)
$72.00list price
$0.06–$86.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $0.06 |
| Independent Health | Commercial | $0.08 |
| Independent Health | Medicare Advantage | $0.08 |
| Geisinger | Medicaid/CHIP | $0.09 |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.09 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.09 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.19 |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Missi | $0.22 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.22 |
| Aetna | Medicaid | $0.23 |
| United Healthcare | Commercial | $0.28 |
| Highmark BCBS of PA | UPMC Emergent | $0.35 |
| Univera | Univera_Medicare_Hamot_2024 | $10.80 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $11.32 |
| Aetna | Commercial | $18.00 |
| UPMC Work Partners | Workers Comp | $20.39 |
| Cigna | New Business ASO | $21.60 |
| Cigna | NBR ASO/FI | $21.60 |
| BCBS of Western NY | Commercial | $25.20 |
| UPMC Health Plan | Commercial | $26.50 |
| Cigna | Commercial | $28.80 |
| Cigna | EBR | $28.80 |
| Aetna | Medicare | $28.80 |
| Univera | Commercial | $31.68 |
| Highmark Wholecare (prev Gateway) | Medicare | $36.00 |
| InterGroup | Health Coalition Partners/PPO | $46.80 |
| Aetna | AXA/MMO | $50.40 |
| Multiplan | PPO (Includes PHCS as a Payer) | $50.40 |
| InterGroup | Beech Street | $57.60 |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $57.60 |
Inpatient
$7.20cash price (self-pay)
$72.00list price
$3.24–$86.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $19.44 |
| Cigna | New Business ASO | $21.60 |
| Cigna | NBR ASO/FI | $21.60 |
| UPMC Work Partners | Workers Comp | $21.70 |
| Univera | Commercial | $23.76 |
| Cigna | Commercial | $28.80 |
| Cigna | EBR | $28.80 |
| United Healthcare | Commercial | $32.72 |
| InterGroup | Health Coalition Partners/PPO | $46.80 |
| Aetna | AXA/MMO | $50.40 |
| Multiplan | PPO (Includes PHCS as a Payer) | $50.40 |
| InterGroup | Beech Street | $57.60 |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $57.60 |
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