Ondansetron injection at UPMC Williamsport. CPT J2405.
What UPMC Williamsport publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$20.40cash price (self-pay)
$34.12list price
$0.09–$30.82range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.09 |
| Geisinger | Medicaid/CHIP | $0.09 |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.09 |
| PA Health & Wellness | PA Medicaid HMO | $0.09 |
| Highmark Wholecare (prev Gateway) | Medicare | $0.09 |
| UPMC Health Plan | CHIP | $0.10 |
| UPMC Health Plan | Managed Medicaid | $0.10 |
| Aetna | Medicare | $9.21 |
| UPMC Work Partners | Workers Comp | $9.25 |
| Multiplan | Worker's Compensation | $10.22 |
| Highmark BCBS of PA | Managed Care - Social Mission | $13.58 |
| Aetna | PEBTF Custom Network | $13.84 |
| UPMC Health Plan | Commercial | $14.88 |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $15.99 |
| Aetna | Commercial | $16.28 |
| Coventry/First Health | Commercial | $17.09 |
| Wirerope Works | Commercial | $18.97 |
| Aetna | First Health | $22.52 |
| Geisinger | Commercial | $22.87 |
| Coventry/First Health | FH-Medical Rental | $22.96 |
| United Healthcare | Commercial | $23.34 |
| Cigna | Commercial | $23.38 |
| Multiplan | Auto | $26.62 |
| Multiplan | PPO (Includes PHCS as a Payer) | $26.62 |
| America's Choice | PPO | $27.30 |
| InterGroup | PPO | $27.30 |
| Three Rivers Provider Network | All | $30.71 |
Inpatient
$20.40cash price (self-pay)
$34.12list price
$9.82–$30.82range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Work Partners | Workers Comp | $9.86 |
| Multiplan | Worker's Compensation | $10.88 |
| Aetna | PEBTF Custom Network | $14.62 |
| Aetna | Commercial | $17.20 |
| Coventry/First Health | Commercial | $18.05 |
| Wirerope Works | Commercial | $18.97 |
| Aetna | First Health | $22.52 |
| Coventry/First Health | FH-Medical Rental | $22.96 |
| United Healthcare | Commercial | $23.34 |
| Cigna | Commercial | $23.38 |
| Multiplan | Auto | $26.62 |
| Multiplan | PPO (Includes PHCS as a Payer) | $26.62 |
| America's Choice | PPO | $27.30 |
| InterGroup | PPO | $27.30 |
| Three Rivers Provider Network | All | $30.71 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.