Ondansetron injection at Medical City Sachse Hospital. CPT J2405.
What Medical City Sachse Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$41.20cash price (self-pay)
$41.20list price
$0.09–$35.02range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| 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 |
| Superior Health Plan | CHIP | $2.88 |
| Superior Health Plan | MCDSTAR | $2.88 |
| Superior Health Plan | STARHealth | $2.88 |
| Superior Health Plan | STARKids | $2.88 |
| Superior Health Plan | STARPLUS | $2.88 |
| 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 | IFP | $5.56 |
| Cigna | HMO | $5.61 |
| Cigna | NetworkBenefit | $5.61 |
| Cigna | OpenAccessPlus | $5.61 |
| Cigna | QHP | $5.77 |
| United | OptionsPPO | $6.96 |
| Cigna | AllOther | $7.10 |
| Superior | EPO | $8.24 |
| Superior | HMO | $8.24 |
| Superior | ValueHMO | $8.24 |
| Healthcare Highways | CityofPlano | $13.93 |
| BCBS | Traditional | $17.06 |
| United | GlobalBenefitPlan | $18.54 |
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