Ondansetron injection at Grace Surgical Hospital. CPT J2405.
What Grace Surgical Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$56.70cash price (self-pay)
$135list price
$0.32–$3.11range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | New Buisness Other Commercial Plan | $0.32 |
| Cigna | Oap | $0.32 |
| Unitedhealthcare | All Commercial Plans | $0.38 |
| Aetna | Preferred Other Commercial Plan | $0.48 |
| Bcbs | Ers Hmo | $2.21 |
| Bcbs | Hmo | $2.21 |
| Bcbs | Par Traditional | $2.21 |
| Bcbs | Ppo | $2.23 |
| Baylor Scott And White | Individual Bsw Premier Exchange | $2.57 |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Comm | $3.11 |
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