Ondansetron injection at Medical City Surgical Hospital Alliance. CPT J2405.
What Medical City Surgical Hospital Alliance publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$21.73cash price (self-pay)
$21.73list price
$0.09–$21.73range 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 |
| Superior Health Plan | CHIP | $1.52 |
| Superior Health Plan | MCDSTAR | $1.52 |
| Superior Health Plan | STARHealth | $1.52 |
| Superior Health Plan | STARKids | $1.52 |
| Superior Health Plan | STARPLUS | $1.52 |
| BCBS | BlueAdvantageHMO | $2.04 |
| BCBS | MyBlueHealth | $2.04 |
| Cigna | IFP | $2.93 |
| BCBS | BlueEssentials | $2.98 |
| BCBS | BlueEssentialsAccess | $2.98 |
| Cigna | QHP | $3.04 |
| BCBS | Eposoa | $3.13 |
| BCBS | PPO | $3.27 |
| Superior | EPO | $4.35 |
| Superior | HMO | $4.35 |
| Superior | ValueHMO | $4.35 |
| United | OptionsPPO | $4.80 |
| Cigna | LocalPlus | $5.02 |
| Cigna | NewBusiness | $5.03 |
| Cigna | HMO | $5.61 |
| Cigna | NetworkBenefit | $5.61 |
| Cigna | OpenAccessPlus | $5.61 |
| Cigna | AllOther | $7.10 |
| Healthcare Highways | CityofPlano | $7.34 |
| BCBS | Traditional | $9.00 |
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All common services at Medical City Surgical Hospital Alliance