Ondansetron injection at Prisma Health Tuomey Hospital. CPT J2405.
What Prisma Health Tuomey Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$27.82cash price (self-pay)
$42.80list price
$0.74–$65.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Sc [300] | Phm Hb Sc Medicaid - Tuomey | $0.74 |
| Pending Medicaid Det [333] | Phm Hb Sc Medicaid - Tuomey | $0.74 |
| Medicaid Molina Healthcare Sc [440] | Phm Hb Molina Medicaid - Tuomey | $0.77 |
| Medicaid Absolute Total Care [410] | Phm Hb Absolute Total Care Medica | $0.78 |
| Medicaid Bluechoice [420] | Phm Hb Bluechoice Medicaid - Tuomey | $0.78 |
| Medicaid Select Health Of Sc [400] | Phm Hb Select Health Medicaid - T | $0.78 |
| Medicaid Humana Healthy Horizons [6110] | Phm Hb Humana Medicaid - Tuo | $0.80 |
| 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 - Tuomey | $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 |
| All Savers - UHC [2980] | Phm Hb United Healthcare All Payer - Tuomey | $27.39 |
| Bind-Surest Benefits On Demand-UHC [2972] | Phm Hb United Healthcare A | $27.39 |
| Golden Rule Insurance Company [2991] | Phm Hb United Healthcare All Pa | $27.39 |
| Medica United Healthcare [2987] | Phm Hb United Healthcare All Payer - | $27.39 |
| Meritain Health Contracted [2200] | Phm Hb Aetna Sc Preferred | $27.39 |
| Oxford Health Plans [2992] | Phm Hb United Healthcare All Payer - Tuom | $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 |
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