Ondansetron injection at WellSpan York Hospital. CPT J2405.
What WellSpan York Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$19.80cash price (self-pay)
$64.50list price
$0.36–$108range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $2.00 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $2.00 |
| Geisinger_Medicaid | All_Plans | $2.00 |
| Health_Partners_Medicaid | All_Other_Plans | $2.00 |
| Aetna_Better_Health_Kids | All_Plans | $2.12 |
| UPMC_Medicaid | All_Plans | $2.20 |
| Aetna | All_Plans | $6.09 |
| First_Health_Network | All_Plans | $6.09 |
| United_Healthcare | All_Plans | $6.33 |
| Blue_Cross | Capital_Cares_4_kids | $40.63 |
| Blue_Cross | All_Other_Plans | $58.04 |
| Blue_Cross | Capital_Blue_Performance_PPO | $58.04 |
| PHC | All_Plans | $58.05 |
| Cigna | All_Plans | $59.29 |
| WellSpan_Capital_Blue_Cross | All_Plans | $59.34 |
| Geisinger | All_Plans | $61.28 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $61.28 |
| UPMC | UPMC_For_Kids | $61.28 |
| UPMC | Employees_And_Dependents | $61.28 |
Inpatient
$19.80cash price (self-pay)
$64.50list price
$14.10–$99.04range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $35.85 |
| Blue_Cross | Capital_Cares_4_kids | $36.74 |
| Blue_Cross | All_Other_Plans | $52.48 |
| Aetna | All_Plans | $55.92 |
| First_Health_Network | All_Plans | $55.92 |
| Cigna | All_Plans | $57.58 |
| PHC | All_Plans | $58.05 |
| WellSpan_Capital_Blue_Cross | All_Plans | $59.34 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $61.28 |
| UPMC | UPMC_For_Kids | $61.28 |
| UPMC | Employees_And_Dependents | $61.28 |
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