Ondansetron injection at WTH Dyersburg Hospital. CPT J2405.
What WTH Dyersburg 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–$3.11range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | HMO/Network/Open Access Plus | $0.09 |
| Cigna | IFP/LocalPlus | $0.09 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $0.11 |
| River Valley Plan | TennCare | $0.14 |
| Blue Cross Blue Shield of Tennessee | Network P | $1.31 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $1.31 |
| Aetna | Whole Health | $1.52 |
| Aetna | New Business Discount - Commercial | $1.59 |
| Aetna | VHAN - Employee Networks | $1.68 |
| Aetna | Commercial | $2.00 |
| Home State Health Plan | MO HealthNet Medicaid | $3.11 |
Inpatient
$0.93cash price (self-pay)
$3.11list price
$1.59–$3.11range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | New Business Discount - Commercial | $1.59 |
| Aetna | Commercial | $2.00 |
| Home State Health Plan | MO HealthNet Medicaid | $3.11 |
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