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Ondansetron injection at WTH Bolivar Hospital. CPT J2405.

What WTH Bolivar Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.

Outpatient / ER

$0.93cash price (self-pay)
$3.11list price
$0.09–$4.59range insurers pay
Insurance planNegotiated rate
United Healthcare | All Payer$0.09
Oscar | HMO/Medicare Advantage/PPO/EPO/POS$0.11
River Valley Plan | TennCare$0.18
Veterans Affairs | Community Care Network$0.75
Blue Cross Blue Shield of Tennessee | BlueCare$0.77
Blue Cross Blue Shield of Tennessee | BlueChoice HMO$0.77
Cigna-HealthSpring | Medicare Advantage$0.77
Aetna | AWH/Vanderbilt Health Affiliated Network (VHAN)/VHAN - Employe$2.02
Blue Cross Blue Shield of Tennessee | Network P$2.11
Blue Cross Blue Shield of Tennessee | Network S/E$2.11
Aetna | Commercial$2.15

Inpatient

$0.93cash price (self-pay)
$3.11list price
$2.15–$4.59range insurers pay
Insurance planNegotiated rate
Aetna | Commercial$2.15
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All common services at WTH Bolivar Hospital