Ondansetron injection at Methodist Mansfield Medical Center. CPT J2405.
What Methodist Mansfield Medical Center publishes for this service, straight from its standard-charges file, last updated March 21, 2026.
Outpatient / ER
$0.53cash price (self-pay)
$1.75list price
$0.13–$11.49range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Medicaid Managed Care [5015] | Mhs Hb United Medicai | $0.13 |
| Molina Medicaid Managed Care [5005] | Mhs Hb Medicaid 110% Star Plus M | $0.46 |
| Wellpoint Medicaid Managed Care [5001] | Mhs Hb Wellpoint Medicaid Sta | $0.56 |
| Cigna [3004] | Mhs Hb Custom Ink Mmmc | $1.31 |
| Web Tpa [3049] | Mhs Hb Custom Ink Mmmc | $1.31 |
| BCBS [3001] | Mhs Hb BCBS My Blue Health Mmmc | $5.64 |
| BCBS [3001] | Mhs Hb BCBS Premier Mmmc | $9.96 |
| BCBS [3001] | Mhs Hb BCBS High Performance Network Mmmc | $9.96 |
| BCBS [3001] | Mhs Hb BCBS City Of Dallas Mmmc | $10.34 |
| BCBS [3001] | Mhs Hb BCBS HMO Mmmc | $10.57 |
| BCBS [3001] | Mhs Hb BCBS PPO Mmmc | $11.49 |
| BCBS [3001] | Mhs Hb BCBS Traditional Mmmc | $11.49 |
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