Ondansetron injection at Dallam Hartley Counties Hospital District. CPT J2405.
What Dallam Hartley Counties Hospital District publishes for this service, straight from its standard-charges file, last updated May 4, 2026.
Outpatient / ER
$3.00cash price (self-pay)
$4.00list price
$0.09–$3.78range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Baylor Scott and White Medicare Advantage | HMO | $0.09 |
| Provider Network of America | PPO | $0.13 |
| BCBS Blue Advantage | PPO | $0.48 |
| BCBS Blue Essentials HMO | HMO | $0.55 |
| BCBS Blue Traditional/PPO | PPO | $0.61 |
| Cigna Commercial | PPO | $2.72 |
| United Healthcare Commercial | PPO | $3.12 |
| Baylor Scott and White Medicaid Replacement | HMO | $3.78 |
Inpatient
$3.00cash price (self-pay)
$4.00list price
$1.00–$2.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Commercial | PPO | $1.00 |
| BCBS Blue Advantage | PPO | $2.24 |
| BCBS Blue Essentials HMO | HMO | $2.52 |
| BCBS Blue Traditional/PPO | PPO | $2.80 |
| Cigna Commercial | PPO | $2.92 |
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All common services at Dallam Hartley Counties Hospital District