Ondansetron injection at Le Bonheur Children's Hospital. CPT J2405.
What Le Bonheur Children's Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$0.22cash price (self-pay)
$1.81list price
$0.40–$27.16range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare [350012] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contrac | $0.40 |
| MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $0.40 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $0.40 |
| MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $0.40 |
| MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Loc | $0.40 |
| Ms - Medicaid [300025] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contract | $0.40 |
| UHC Medicaid [350006] | Hb UHC Ms Can Mlh-Tn-Leb Contract | $0.40 |
| UNITED HEALTHCARE [100060] | HB UHC Le Bonheur | $0.44 |
| Molina Healthcare [350012] | Hb Molina Mschips - Mlh-Tn Contract | $0.50 |
| UHC Medicaid [350006] | Hb UHC Mschips Lebonheur Contract | $0.74 |
| AETNA [100001] | HB LeB Direct Aetna CONTRACT | $1.72 |
| Transplant Optum Tenncare [350013] | Hb Medicaid Tn - UHC Tenncare (Am | $2.09 |
| UHC Medicaid [350006] | Hb Medicaid Tn - UHC Tenncare (Americhoice) - | $2.09 |
| CIGNA [100009] | HB CIGNA IFP - LeBonheur | $3.34 |
| CIGNA [100009] | HB CIGNA HMO - LeBonheur | $3.71 |
| CIGNA [100009] | HB CIGNA OAP – LeBonheur | $3.71 |
| CIGNA [100009] | HB CIGNA LocalPlus - LeBonheur | $3.71 |
| CIGNA [100009] | HB Cigna PPO - LeBonheur | $3.71 |
| Ar - Medicaid [300005] | Hb Medicaid-Ar Contract | $27.16 |
| Ar Medicaid Replacement [350010] | Hb Xr Ar Passe Caid/Caresource/Empo | $27.16 |
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