Ondansetron injection at Lake Granbury Medical Center. CPT J2405.
What Lake Granbury Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$5.76cash price (self-pay)
$32.00list price
$1.92–$30.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE Aetna CHIP Medicaid TX | NODE Aetna CHIP Medicaid TX | $4.35 |
| NODE Cook Childrens Health Plan CHIP Medicaid TX | NODE Cook Childrens | $4.35 |
| Medicaid | NODE TX Medicaid | $4.35 |
| NON PAR TX Medicaid | NODE TX Medicaid NON PAR | $4.35 |
| NODE UHC CHIP/STAR KIDS Medicaid TX | NODE UHC CHIP Medicaid TX | $4.35 |
| NODE UHC STAR KIDS Medicaid TX | NODE UHC STAR KIDS Medicaid TX | $4.35 |
| NODE UHC STAR Medicaid TX | NODE UHC STAR Medicaid TX | $4.35 |
| Healthspring | NODE Cigna Healthspring Medicaid TX | $4.57 |
| NODE Molina CHIP Medicaid TX | NODE Molina CHIP Medicaid TX | $4.57 |
| NODE Molina Medicaid TX | NODE Molina STAR Medicaid TX | $4.57 |
| Amerigroup | NODE Wellpoint CHIP Medicaid TX | $4.57 |
| Amerigroup | NODE Wellpoint STAR KIDS Medicaid TX | $4.57 |
| NODE Superior CHIP/STAR KIDS/ STAR HEALTH Medicaid TX | NODE Superior | $5.00 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $5.00 |
| Superior | NODE Superior STAR Medicaid TX | $5.00 |
| NODE Superior STAR PLUS Medicaid TX | NODE Superior STAR PLUS Medicaid | $5.00 |
| NODE Aetna STAR KIDS Medicaid TX | NODE Aetna STAR KIDS Medicaid TX | $5.92 |
| NODE Cook Childrens Health Plan STAR KIDS Medicaid TX | NODE Cook Chil | $5.92 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $8.06 |
| Cigna | Cigna New Business | $8.13 |
| Cigna | Cigna ALL | $12.61 |
| United Healthcare | NODE UHC STAR PLUS Medicaid TX | $13.48 |
| NODE Molina STAR PLUS Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $14.17 |
| Aetna | Aetna Whole Health | $14.56 |
| Aetna | Aetna NBD | $15.36 |
| Aetna | NODE Aetna STAR Medicaid TX | $15.66 |
| NODE Cook Childrens Health Plan Medicaid TX | NODE Cook Childrens Heal | $15.66 |
| NODE Wellpoint STAR Medicaid TX | NODE Wellpoint STAR Medicaid TX | $16.45 |
| Aetna | Aetna PPO HMO | $17.12 |
| Healthsmart | Healthsmart ACCEL | $17.60 |
Inpatient
$8.64cash price (self-pay)
$32.00list price
$3.52–$30.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $3.52 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $8.06 |
| Cigna | Cigna New Business | $8.13 |
| United Healthcare | UHC APA | $13.60 |
| Aetna | Aetna Whole Health | $14.56 |
| Aetna | Aetna NBD | $15.36 |
| Aetna | Aetna PPO HMO | $17.12 |
| Healthsmart | Healthsmart ACCEL | $17.60 |
| Aetna | Aetna NAB First Health Rental | $18.21 |
| Aetna | Aetna Auto | $21.98 |
| Healthsmart | Healthsmart PPO HPO | $22.40 |
| Santa Fe Hospital Association | Santa Fe Hospital Association | $25.60 |
| Multiplan | Multiplan Complementary | $28.16 |
| Galaxy Health | Galaxy Health PPO | $30.40 |
| MedCorp Southwest | MedCorp Southwest | $30.40 |
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