Ondansetron injection at Medical City Fort Worth Hospital. CPT J2405.
What Medical City Fort Worth Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$60.88cash price (self-pay)
$60.88list price
$0.09–$60.88range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Tricare | $0.09 |
| TriWest Health Alliance | TRCR | $0.09 |
| United | AllPayerAppendix | $0.15 |
| United | NarrowNetworkIndivExchange | $0.15 |
| United | SmallGroup | $0.15 |
| BCBS | BlueAdvantageHMO | $2.04 |
| BCBS | MyBlueHealth | $2.04 |
| BCBS | BlueEssentials | $2.98 |
| BCBS | BlueEssentialsAccess | $2.98 |
| BCBS | Eposoa | $3.13 |
| BCBS | PPO | $3.27 |
| Cigna | LocalPlus | $5.02 |
| Cigna | NewBusiness | $5.03 |
| Cigna | HMO | $5.61 |
| Cigna | NetworkBenefit | $5.61 |
| Cigna | OpenAccessPlus | $5.61 |
| Cigna | AllOther | $7.10 |
| Cigna | IFP | $8.22 |
| Cigna | QHP | $8.52 |
| Healthcare Highways | CityofPlano | $20.58 |
| BCBS | Traditional | $25.20 |
| City of McKinney | COMM | $27.40 |
| Emerging Therapy Solutions | MGMCR | $29.83 |
| Molina Healthcare | HIX | $30.44 |
| National ChoiceCare | WCOMP | $30.44 |
| Aetna | ASA | $30.74 |
| Cigna Lifesource | COMM | $32.27 |
| Aetna | WCOMP | $33.48 |
| Aetna Coventry First Health | EXCLUSIVE | $34.88 |
| Aetna Coventry First Health | NONEXCLUSIVE | $34.88 |
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