Ondansetron injection at Medical City Arlington Hospital. CPT J2405.
What Medical City Arlington Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$28.53cash price (self-pay)
$290list price
$0.09–$551range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $0.15 |
| United | NarrowNetworkIndivExchange | $0.15 |
| United | SmallGroup | $0.15 |
| Superior Health Plan | CHIP | $20.29 |
| Superior Health Plan | MCDSTAR | $20.29 |
| Superior Health Plan | STARHealth | $20.29 |
| Superior Health Plan | STARKids | $20.29 |
| Superior Health Plan | STARPLUS | $20.29 |
| Cigna | IFP | $39.11 |
| Cigna | QHP | $40.56 |
| United | OptionsPPO | $53.02 |
| Unicare | CHIP | $55.05 |
| Superior | EPO | $57.95 |
| Superior | HMO | $57.95 |
| Superior | ValueHMO | $57.95 |
| Molina Healthcare | HIX | $79.58 |
| Healthcare Highways | CityofPlano | $97.94 |
| BCBS | Traditional | $120 |
| City of McKinney | COMM | $130 |
| United | GlobalBenefitPlan | $130 |
| Global Sports Services | COMMPPO | $145 |
| National ChoiceCare | WCOMP | $145 |
| Aetna | ASA | $146 |
| Aetna | WCOMP | $159 |
| PC Texas Partners | WCOMP | $159 |
| Physicians Coop of TX | MGMCR | $159 |
| Rockport Health Group | WORKERSCOMP | $159 |
| Aetna Coventry First Health | COMM | $166 |
| Averde Health, Inc | PPO | $168 |
| Coastal Comp Health Networks | WCOMP | $203 |
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