Ondansetron injection at Mid Coast Well Care - Bellville. CPT J2405.
What Mid Coast Well Care - Bellville publishes for this service, straight from its standard-charges file, last updated June 1, 2026.
Outpatient / ER
$3.00cash price (self-pay)
$3.00list price
$0.72–$2.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Inc. | Medicare Advantage | $0.72 |
| Blue Cross Blue Sheild | Medicare Advantage PPO | $0.72 |
| Blue Cross Blue Sheild | Medicare Advantage HMO | $0.72 |
| Community Health | Medicare Advantage | $0.72 |
| Molina | Medicare Advantage | $0.72 |
| Scott & White | Medicare Advantage | $0.72 |
| Superior | Commericial | $0.72 |
| Superior | Medicare Advantage | $0.72 |
| United | Medicare Advantage | $0.72 |
| Amerigroup | Managed Medicaid | $1.07 |
| Community Health | Managed Medicaid | $1.07 |
| Molina | Managed Medicaid | $1.07 |
| Multiplan | Managed Medicaid | $1.07 |
| Scott & White | Managed Medicaid | $1.07 |
| Tesas Children's Health Plan | Managed Medicaid | $1.07 |
| United | Managed Medicaid | $1.07 |
| Blue Cross Blue Sheild | Essentials | $1.35 |
| Blue Cross Blue Sheild | Medicare Advantage | $1.35 |
| Blue Cross Blue Sheild | Traditional | $1.50 |
| Scott & White | Commericial | $1.50 |
| United | Commericial | $1.50 |
| Cigna | Commericial | $1.83 |
| TriWest | Medicare Advantage | $2.25 |
| HealthSmart | Commericial | $2.40 |
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