Ondansetron injection at Methodist Southlake Medical Center. CPT J2405.
What Methodist Southlake Medical Center publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$1.05cash price (self-pay)
$3.50list price
$0.55–$11.49range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Commercial [2042] | Mhs Hb Aetna Texas Advantage Msmc | $0.55 |
| Aetna Managed Care [2068] | Mhs Hb Aetna Texas Advantage Msmc | $0.55 |
| Aetna Commercial [2042] | Mhs Hb Aetna TX Pref Plus II Msmc | $0.56 |
| Aetna Managed Care [2068] | Mhs Hb Aetna Whole Health Msmc | $0.56 |
| Aetna Managed Care [2068] | Mhs Hb Aetna TX Pref Plus II Msmc | $0.56 |
| Web Tpa [3049] | Mhs Hb Aetna Whole Health Msmc | $0.56 |
| Aetna [3000] | Mhs Hb Aetna HMO PPO Msmc | $0.63 |
| Web Tpa [3049] | Mhs Hb Aetna HMO PPO Msmc | $0.63 |
| Healthez Aetna Signature Administrators [3074] | Mhs Hb Aetna HMO PPO | $0.63 |
| United Healthcare Medicaid Managed Care [5015] | Mhs Hb United Medicai | $0.98 |
| Aetna [3000] | Mhs Hb Aetna Baylor Scott And White Msmc | $1.96 |
| Scott & White Health Plan Trs [3062] | Mhs Hb Aetna Baylor Scott And W | $1.96 |
| Bind Benefits Inc [1004] | Mhs Hb United Healthcare Msmc | $1.99 |
| United Healthcare-Commercial [2026] | Mhs Hb United Healthcare Msmc | $1.99 |
| Freedom Life Insurance Company [2029] | Mhs Hb United Healthcare Msmc | $1.99 |
| United Healthcare-Managed Care [2067] | Mhs Hb United Healthcare Msmc | $1.99 |
| Definity Health [3006] | Mhs Hb United Healthcare Msmc | $1.99 |
| United Healthcare Managed Care [3021] | Mhs Hb United Healthcare Msmc | $1.99 |
| Tml Intergovernmental Employee Benefits [3050] | Mhs Hb United Healthc | $1.99 |
| Geha Federal [3066] | Mhs Hb United Healthcare Msmc | $1.99 |
| United Healthcare Global [3075] | Mhs Hb United Healthcare Msmc | $1.99 |
| UHC - Mhs Employee Health Plan [9000] | Mhs Hb UHC Employee Health Msm | $1.99 |
| Cigna [3004] | Mhs Hb Custom Ink Msmc | $2.63 |
| Web Tpa [3049] | Mhs Hb Custom Ink Msmc | $2.63 |
| Molina Medicaid Managed Care [5005] | Mhs Hb Medicaid 110% Star Plus M | $3.63 |
| Wellpoint Medicaid Managed Care [5001] | Mhs Hb Wellpoint Medicaid Sta | $4.40 |
| BCBS [3001] | Mhs Hb BCBS My Blue Health Msmc | $5.64 |
| BCBS [3001] | Mhs Hb BCBS High Performance Network Msmc | $9.96 |
| BCBS [3001] | Mhs Hb BCBS Premier Msmc | $9.96 |
| BCBS [3001] | Mhs Hb BCBS City Of Dallas Msmc | $10.34 |
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