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Ondansetron injection at UPMC Mercy. CPT J2405.

What UPMC Mercy publishes for this service, straight from its standard-charges file, last updated March 6, 2026.

Outpatient / ER

$22.20cash price (self-pay)
$37.00list price
$0.06–$33.98range insurers pay
Insurance planNegotiated rate
UPMC Health Plan | Managed Medicaid$0.06
AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid$0.09
Geisinger | Medicaid/CHIP$0.09
PA Health & Wellness | Community Health Choices/PA Medicaid HMO$0.09
UPMC Health Plan | Commercial$0.11
UPMC Health Plan | CHIP$0.12
United Healthcare Community Plan for Families | PA Medicaid$0.22
Aetna | Medicare$9.25
Aetna | Neighborhood Network$10.32
Aetna | Home Depot Employer Group$11.27
Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me$11.32
Aetna | NBR ASO/FI$11.47
UPMC Work Partners | Workers Comp$12.85
Bravo | Medicare$12.95
Aetna | EBR FI$14.06
Aetna | EBR ASO$14.80
Cigna | Commercial$14.80
Cigna | New Business ASO$15.17
Coventry/First Health | Commercial$16.28
Highmark BCBS of PA | Managed Care - Social Mission$16.50
Highmark BCBS of PA | Commercial - Social Mission Indemnity$16.97
InterGroup | PPO$18.50
Highmark Wholecare (prev Gateway) | Medicare$18.50
Highmark BCBS of PA | Managed Care$22.10
Cigna Behavioral Health | Commercial$22.20
Highmark BCBS of PA | Commercial - Indemnity$22.73
Private Health Care Systems | PPO$27.75
American Healthcare Group | Commercial$29.60
InterGroup | Approved National Affiliated PPO Business$29.60
National Provider Network | PPO$30.34

Inpatient

$22.20cash price (self-pay)
$37.00list price
$0.18–$33.98range insurers pay
Insurance planNegotiated rate
Aetna | Neighborhood Network$11.32
Aetna | Home Depot Employer Group$12.32
Aetna | NBR ASO/FI$12.58
Cigna | New Business ASO$12.58
UPMC Work Partners | Workers Comp$13.68
Aetna | EBR FI$14.06
Aetna | EBR ASO$14.80
Cigna | Commercial$14.80
Coventry/First Health | Commercial$16.28
InterGroup | PPO$18.50
Cigna Behavioral Health | Commercial$22.20
InterGroup | Approved National Affiliated PPO Business$29.60
National Provider Network | PPO$30.34
Health Payors Organization | Commercial$33.30
Multiplan | PPO (inc. Auto and Worker's Compensation)$33.30
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All common services at UPMC Mercy