Ondansetron injection at UPMC Wellsboro. CPT J2405.
What UPMC Wellsboro publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$0.60cash price (self-pay)
$5.00list price
$0.09–$32.54range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.09 |
| Geisinger | CHIP | $0.09 |
| Geisinger | Medicaid/CHIP | $0.09 |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.09 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.09 |
| UPMC Health Plan | CHIP | $0.10 |
| UPMC Health Plan | Managed Medicaid | $0.10 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.19 |
| Aetna | Medicare | $0.54 |
| Highmark BCBS of PA | Medicare | $0.60 |
| Highmark Wholecare (prev Gateway) | Medicare | $0.60 |
| UPMC Health Plan | Managed Medicare | $0.61 |
| Cigna | Medicare | $0.63 |
| United Healthcare | Medicare | $0.64 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $0.65 |
| UPMC Work Partners | Workers Comp | $1.13 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1.29 |
| UPMC Health Plan | Commercial | $1.31 |
| Highmark BCBS of PA | Commercial | $1.52 |
| Wirerope Works | Commercial | $1.67 |
| Geisinger | Commercial | $2.01 |
| Aetna | PEBTF Custom Network | $2.20 |
| Multiplan | Auto | $2.34 |
| Multiplan | PPO (Includes PHCS as a Payer) | $2.34 |
| United Healthcare | Commercial | $2.55 |
| Aetna | Commercial | $2.59 |
| America's Choice | PPO | $2.70 |
| InterGroup | PPO | $2.70 |
| Multiplan | Worker's Compensation | $2.85 |
Inpatient
$0.60cash price (self-pay)
$3.00list price
$0.38–$32.54range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Work Partners | Workers Comp | $1.13 |
| Wirerope Works | Commercial | $1.67 |
| Aetna | PEBTF Custom Network | $2.20 |
| Multiplan | Auto | $2.34 |
| Multiplan | PPO (Includes PHCS as a Payer) | $2.34 |
| United Healthcare | Commercial | $2.55 |
| Aetna | Commercial | $2.59 |
| America's Choice | PPO | $2.70 |
| InterGroup | PPO | $2.70 |
| Multiplan | Worker's Compensation | $2.85 |
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