Ondansetron injection at Sioux Falls Specialty Hospital. CPT J2405.
What Sioux Falls Specialty Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2026.
Outpatient / ER
$14.48cash price (self-pay)
$19.31list price
$1.00–$146range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Mn | BCBS Mn | $1.00 |
| BCBS PPO HMO Blue Card | BCBS PPO HMO Blue Card | $1.00 |
| Blue Cross Of Minnesota | Blue Cross Of Minnesota | $1.00 |
| Blue Plus | Blue Plus | $1.00 |
| Blue Star Claims | Blue Star Claims | $1.00 |
| Care 1 Plus | Care 1 Plus | $1.00 |
| Care First | Care First | $1.00 |
| Aetna | Aetna | $7.71 |
| Aetna. | Aetna. | $7.71 |
| Christian Care Medishare | Christian Care Medishare | $8.25 |
| Christian Medishare (First Health | Christian Medishare (First Health | $8.25 |
| Christian Medishare (Phcs | Christian Medishare (Phcs | $8.25 |
| Christian Healthcare Ministries | Christian Healthcare Ministries | $13.52 |
| Berkley Risk | Berkley Risk | $15.45 |
| Berkshire Hathaway | Berkshire Hathaway | $15.45 |
| Billion Auto | Billion Auto | $15.45 |
| Ccmsi | Ccmsi | $15.45 |
| Cincinnati Ins | Cincinnati Ins | $15.45 |
| City of George | City of George | $15.45 |
| City of Storm Lake | City of Storm Lake | $15.45 |
| All Savers | All Savers | $15.83 |
| Benefit Plan Administrators | Benefit Plan Administrators | $15.83 |
| Bind Benefits Inc | Bind Benefits Inc | $15.83 |
| Bmi | Bmi | $15.83 |
| Christian Medishare (Phcs) | Christian Medishare (Phcs) | $15.83 |
| Allegiance | Allegiance | $16.41 |
| Allegiance Benefit Plan Management | Allegiance Benefit Plan Managemen | $16.41 |
| Allied Benefit Systems | Allied Benefit Systems | $16.41 |
| Apwu | Apwu | $16.41 |
| Apwu Health Plan | Apwu Health Plan | $16.41 |
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