Ondansetron injection at UPMC Northwest. CPT J2405.

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

Outpatient / ER

$33.60cash price (self-pay)

$56.00list price

$0.06–$48.24range insurers pay

Insurance plan	Negotiated rate
UPMC Health Plan \| Managed Medicaid	$0.06
Geisinger \| Medicaid/CHIP	$0.09
Highmark Wholecare (prev Gateway) \| Medicaid	$0.09
PA Health & Wellness \| PA Medicaid HMO	$0.09
UPMC Health Plan \| Commercial	$0.11
United Healthcare Community Plan for Families \| Unison MedPLUS	$0.20
United Healthcare Community Plan for Families \| Unison Kids	$0.22
Aetna \| Medicaid	$0.23
Aetna \| Medicare	$14.00
Highmark BCBS of PA \| Commercial - Social Mission Indemnity/Managed Ca	$15.05
Highmark BCBS of PA \| Commercial - Indemnity/Managed Care	$18.54
UPMC Work Partners \| Workers Comp	$20.22
Aetna \| EBR ASO	$22.40
Cigna \| Commercial	$22.40
Highmark Wholecare (prev Gateway) \| Medicare	$28.00
Aetna \| EBR FI	$33.60
Aetna \| Neighborhood Network	$33.60
Aetna \| Home Depot Employer Group	$34.55
Aetna \| NBR ASO/FI	$35.28
Cigna \| New Business ASO	$35.28
InterGroup \| PPO	$36.40
Coventry/First Health \| Commercial	$39.20
Health Coalition Partners \| PPO	$40.32
Private Health Care Systems \| PPO	$44.80
Humana \| Commercial	$47.60

$33.60cash price (self-pay)

$56.00list price

$0.23–$3,704range insurers pay

Insurance plan	Negotiated rate
UPMC Work Partners \| Workers Comp	$21.49
Aetna \| EBR ASO	$22.40
Cigna \| Commercial	$22.40
Aetna \| EBR FI	$32.48
Aetna \| Neighborhood Network	$34.72
Aetna \| Home Depot Employer Group	$35.67
Aetna \| NBR ASO/FI	$36.40
Cigna \| New Business ASO	$36.40
Coventry/First Health \| Commercial	$39.20
Private Health Care Systems \| PPO	$44.80
Humana \| Commercial	$47.60
InterGroup \| PPO	$1,870

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