Ondansetron injection at WellSpan Surgery & Rehabilitation Hospital. CPT J2405.
What WellSpan Surgery & Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$19.80cash price (self-pay)
$24.75list price
$0.36–$24.01range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $0.36 |
| Geisinger_Medicaid | All_Plans | $0.36 |
| Health_Partners_Medicaid | All_Other_Plans | $0.36 |
| Aetna_Better_Health_Kids | All_Plans | $0.39 |
| UPMC_Medicaid | All_Plans | $0.40 |
| Aetna | All_Plans | $1.11 |
| First_Health_Network | All_Plans | $1.11 |
| United_Healthcare | All_Plans | $1.15 |
| Cigna | All_Plans | $10.78 |
| Blue_Cross | Capital_Cares_4_kids | $13.90 |
| Blue_Cross | All_Other_Plans | $19.85 |
| Blue_Cross | Capital_Blue_Performance_PPO | $19.85 |
| WellSpan_Capital_Blue_Cross | All_Plans | $22.77 |
| UPMC | UPMC_For_Kids | $23.02 |
| UPMC | All_Plans | $23.02 |
| Geisinger | All_Plans | $23.18 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $23.51 |
| PHC | All_Plans | $24.01 |
Inpatient
$19.80cash price (self-pay)
$24.75list price
$14.33–$23.51range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $14.33 |
| Blue_Cross | Capital_Cares_4_kids | $14.62 |
| Aetna | All_Plans | $21.90 |
| First_Health_Network | All_Plans | $21.90 |
| Cigna | All_Plans | $22.19 |
| Blue_Cross | All_Other_Plans | $22.19 |
| UPMC | UPMC_For_Kids | $23.02 |
| UPMC | All_Plans | $23.02 |
| Geisinger | All_Plans | $23.18 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $23.51 |
| PHC | All_Plans | $23.51 |
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All common services at WellSpan Surgery & Rehabilitation Hospital