Ondansetron injection at Pipeline East Dallas LLC. CPT J2405.
What Pipeline East Dallas LLC publishes for this service, straight from its standard-charges file, last updated May 22, 2026.
Outpatient / ER
$87.04cash price (self-pay)
$128list price
$0.86–$92.16range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS of TX | Blue Advantage | $0.86 |
| BCBS of TX | Blue Essentials | $1.03 |
| BCBS of TX | PPO | $1.14 |
| Amerigroup | CHIP/Medicaid | $11.52 |
| Superior Health Plan | EPO | $17.41 |
| Scott and White | EPO/PPO | $64.00 |
| Multiplan | Auto | $83.20 |
| Multiplan | Commercial | $83.20 |
| Multiplan | Workers Comp | $83.20 |
| Cigna | Medicaid | $92.16 |
| Molina | CHIP/Medicaid | $92.16 |
| Parkland | Medicaid | $92.16 |
| Superior Health Plan | CHIP/Medicaid | $92.16 |
Inpatient
$87.04cash price (self-pay)
$128list price
$32.00–$64.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $32.00 |
| Scott and White | EPO/PPO | $64.00 |
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