Ondansetron injection at Sanford Clear Lake Medical Center. CPT J2405.
What Sanford Clear Lake Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$60.32cash price (self-pay)
$75.40list price
$38.68–$70.39range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan Align | Medicare Replacement | $38.68 |
| Security Health Plan | Commercial | $41.47 |
| Ucare | Medicare Replacement | $41.55 |
| Wellmark SD | Medicare Replacement | $41.55 |
| Aetna | Medicare Replacement | $41.92 |
| Great Plains Medicare Advantage | Medicare Replacement | $41.92 |
| Health Partners | Medicare Replacement | $41.92 |
| United Healthcare | Medicare Replacement | $41.92 |
| Primewest | Medicare Replacement | $42.75 |
| Health Partners | State Employees | $48.78 |
| Sanford Health Plan | SD Exchange True | $52.27 |
| Health Partners | Commercial | $56.55 |
| Sanford Health Plan | Group Health/True | $59.60 |
| Sanford Health Plan | SD Exchange Commercial | $61.49 |
| Blue Cross Blue Shield of Minnesota | State Employees | $61.68 |
| Medica | Choice | $62.21 |
| United Healthcare | Commercial + Top 20 | $62.96 |
| Wellmark | PPO | $64.84 |
| Aetna | Commercial | $65.52 |
| Ucare | Commercial | $66.25 |
| Medica | Elect | $66.50 |
| Cigna | Commercial | $67.86 |
| First Choice Health Network | Commercial | $67.86 |
| Healthez | Commercial | $67.86 |
| Multiplan | Commercial | $67.86 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $69.76 |
| Sanford Health Plan | Commercial/ND Pers | $70.11 |
Inpatient
$60.32cash price (self-pay)
$75.40list price
$41.46–$70.39range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $41.47 |
| Health Partners | State Employees | $48.78 |
| Sanford Health Plan | SD Exchange True | $52.27 |
| Health Partners | Commercial | $56.55 |
| Sanford Health Plan | Group Health/True | $59.60 |
| Sanford Health Plan | SD Exchange Commercial | $61.49 |
| Medica | Choice | $62.21 |
| United Healthcare | Commercial + Top 20 | $62.96 |
| Aetna | Commercial | $65.52 |
| Wellmark | PPO | $65.60 |
| Ucare | Commercial | $66.25 |
| Medica | Elect | $66.50 |
| Cigna | Commercial | $67.86 |
| First Choice Health Network | Commercial | $67.86 |
| Healthez | Commercial | $67.86 |
| Multiplan | Commercial | $67.86 |
| Sanford Health Plan | Commercial/ND Pers | $70.11 |
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