Ondansetron injection at Prisma Health Richland Hospital. CPT J2405.
What Prisma Health Richland Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$0.39cash price (self-pay)
$42.80list price
$0.09–$10,956range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Humana Healthy Horizons [6110] | Phm Hb Humana Medicaid - Ric | $0.96 |
| Medicaid Bluechoice [420] | Phm Hb Bluechoice Medicaid - Richland | $1.02 |
| Medicaid Sc [300] | Phm Hb Sc Medicaid - Richland | $1.04 |
| Pending Medicaid Det [333] | Phm Hb Sc Medicaid - Richland | $1.04 |
| Medicaid Molina Healthcare Sc [440] | Phm Hb Molina Medicaid - Richlan | $1.05 |
| Medicaid Absolute Total Care [410] | Phm Hb Absolute Total Care Medica | $1.11 |
| Medicaid Select Health Of Sc [400] | Phm Hb Select Health Medicaid - R | $1.14 |
| Bluechoice [810] | Phm Bluechoice Richland | $4.04 |
| MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $6.59 |
| Cigna [2800] | Phm Hb Cigna - Midlands | $8.32 |
| Evernorth Behavioral Contracted [2982] | Phm Hb Cigna - Midlands | $8.32 |
| Prisma Health Seniorcare Pace - Midlands [5400] | Ph Hb Seniorcare Pac | $9.93 |
| Prisma Health Seniorcare Pace-Upstate [5200] | Ph Hb Seniorcare Pace | $9.93 |
| Promise Health Plan Contracted [2401] | Ph Hb Promise Prisma Employee | $14.98 |
| Orangeburg Senior Helping Center Pace [5401] | Ph Oaks Pace | $17.12 |
| Promise Health Plan Contracted [2401] | Ph Hb Promise Healthcare | $21.40 |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $25.68 |
| Aetna [2000] | Phm Hb Aetna Sc Preferred | $27.39 |
| Meritain Health Contracted [2200] | Phm Hb Aetna Sc Preferred | $27.39 |
| Preferred Administrators Contracted [2839] | Ph Hb Preferred Administr | $29.96 |
| Medcost [2940] | Ph Hb Medcost Benefit Services | $31.67 |
| Atlantic Packaging Contracted [4833] | Ph Hb Atlantic Packaging | $32.10 |
| Humana [2930] | Phm Choicecare - Midlands | $32.10 |
| Aetna Voluntary Plan [2500] | Phm Hb Aetna Commercial - Midlands | $33.81 |
| Aetna [2000] | Phm Hb Aetna Commercial - Midlands | $33.81 |
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