Ondansetron injection at Palo Pinto General Hospital. CPT J2405.
What Palo Pinto General Hospital publishes for this service, straight from its standard-charges file, last updated July 8, 2026.
Outpatient / ER
$5.00cash price (self-pay)
$10.00list price
$1.40–$7.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS TX Blue Essentials | HMO | $1.40 |
| BCBS TX Blue Advantage | PPO | $1.40 |
| BCBS TX PPO | PPO | $1.48 |
| Baylor Scott and White Commercial | POS | $5.00 |
| Aetna Commercial | PPO | $6.50 |
| Cigna | PPO | $7.00 |
| UHC Commercial | PPO | $7.00 |
Inpatient
$5.00cash price (self-pay)
$10.00list price
$3.33–$10.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS TX Blue Essentials | HMO | $3.33 |
| BCBS TX Blue Advantage | PPO | $3.33 |
| BCBS TX PPO | PPO | $3.50 |
| Baylor Scott and White Commercial | POS | $5.00 |
| Aetna Commercial | PPO | $6.00 |
| Cigna | PPO | $7.00 |
| UHC Commercial | PPO | $7.00 |
| Molina Medicaid | EPO | $7.10 |
| Wellpoint Medicaid | EPO | $7.10 |
| UHC Community Plan | EPO | $7.10 |
| Oscar | PPO | $10.00 |
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