Ondansetron injection at UPMC Passavant-McCandless. CPT J2405.
What UPMC Passavant-McCandless publishes for this service, straight from its standard-charges file, last updated March 7, 2026.
Outpatient / ER
$34.20cash price (self-pay)
$110list price
$0.06–$196range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $0.06 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $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 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $11.43 |
| Highmark BCBS of PA | Managed Care - Social Mission | $16.08 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $16.25 |
| Highmark BCBS of PA | Managed Care | $21.53 |
| Aetna | Medicare | $21.75 |
| Highmark BCBS of PA | Commercial - Indemnity | $21.76 |
| Cigna | New Business ASO | $29.58 |
| UPMC Work Partners | Workers Comp | $31.31 |
| Cigna | Commercial | $34.80 |
| Private Health Care Systems | Workers' Comp | $36.41 |
| Health Plan of Upper Ohio Valley | Commercial | $40.20 |
| Highmark BCBS of PA | UPMC Emergent | $43.06 |
| Highmark Wholecare (prev Gateway) | Medicare | $43.50 |
| Coventry/First Health | Commercial | $60.90 |
| InterGroup | PPO | $72.21 |
| Humana | Commercial | $73.95 |
| Multiplan | PPO (Includes Workers' Comp) | $73.95 |
| Private Health Care Systems | PPO | $73.95 |
Inpatient
$34.20cash price (self-pay)
$87.00list price
$20.52–$215range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | New Business ASO | $31.32 |
| UPMC Work Partners | Workers Comp | $33.29 |
| Cigna | Commercial | $34.80 |
| Private Health Care Systems | Workers' Comp | $38.70 |
| Coventry/First Health | Commercial | $60.90 |
| InterGroup | PPO | $78.30 |
| Humana | Commercial | $80.91 |
| Multiplan | PPO (Includes Workers' Comp) | $80.91 |
| Private Health Care Systems | PPO | $80.91 |
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