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Ondansetron injection at Northwest Texas Healthcare System Behavioral Health. CPT J2405.

What Northwest Texas Healthcare System Behavioral Health publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

—cash price (self-pay)
$350list price
$0.09–$308range insurers pay
Insurance planNegotiated 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$70.00
Molina | Medicaid$75.60
First_care_chip | Medicaid$83.16
Scott_and_white_healthplan | Managed_care$94.50
Wellpoint_starkids | Medicaid$208
Amerigroup | Medicaid$229
First_care_star | Medicaid$252
Wellpoint_ Amgrp_star_plus | Medicaid$270
Superior_starkids | Medicaid$279
Multiplan | Managed_care$280
First_care_star_plus | Medicaid$297
Superior_star | Medicaid$308
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All common services at Northwest Texas Healthcare System Behavioral Health