Ondansetron injection at Northwest Texas Healthcare System. CPT J2405.
What Northwest Texas Healthcare System publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
$392list price
$0.09–$345range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oklahoma | Medicaid | $0.09 |
| Cigna | Managed_care | $0.11 |
| Blue_cross_blue_shield_of_tx | Advantage | $0.61 |
| Blue_cross_blue_shield_of_tx | HMO | $0.65 |
| Blue_cross_blue_shield_of_tx | Managed_care | $0.70 |
| Blue_cross_blue_shield_of_tx | PPO | $0.73 |
| Aetna | Managed_care | $78.40 |
| Molina | Medicaid | $84.67 |
| First_care_chip | Medicaid | $93.14 |
| Scott_and_white_healthplan | Managed_care | $106 |
| Wellpoint_starkids | Medicaid | $233 |
| Amerigroup | Medicaid | $257 |
| First_care_star | Medicaid | $282 |
| Wellpoint_ Amgrp_star_plus | Medicaid | $302 |
| Superior_starkids | Medicaid | $313 |
| Multiplan | Managed_care | $314 |
| First_care_star_plus | Medicaid | $332 |
| Superior_star | Medicaid | $345 |
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