Ondansetron injection at St. David's Surgical Hospital. CPT J2405.
What St. David's Surgical Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$1.00cash price (self-pay)
$37.50list price
$0.05–$150range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriWest Health Alliance | TRCR | $0.09 |
| United | NarrowNetworkHIX | $0.11 |
| United | AllPayerAppendix | $0.15 |
| United | SmallGroup | $0.15 |
| BCBS | BlueAdvantage | $0.84 |
| BCBS | MyBlueHealth | $0.84 |
| BCBS | BlueEssentials | $1.33 |
| BCBS | BlueEssentialsAccess | $1.33 |
| BCBS | Eposoa | $1.43 |
| BCBS | PPO | $1.53 |
| Superior Health Plan | CHIP | $1.88 |
| Superior Health Plan | CHPFC | $1.88 |
| Superior Health Plan | STAR | $1.88 |
| Superior Health Plan | STARPLUS | $1.88 |
| Superior Health Plan | AmbetterEPO | $6.38 |
| Superior Health Plan | AmbetterHMO | $6.38 |
| Superior Health Plan | ValueHMO | $6.38 |
| United | OptionsPPO | $9.34 |
| Humana | HMO | $10.41 |
| Humana | PPO | $10.41 |
| BCBS | Traditional | $11.06 |
| Sendero | ACHP | $12.00 |
| Shared Health | MGMCR | $13.12 |
| Texas Workforce Commission | WCOMP | $14.62 |
| United | GlobalBenefitPlan | $16.88 |
| Comanche County | LOCALGOV | $18.75 |
| Independent Medical Systems | COMM | $20.62 |
| First Health | PPO | $21.38 |
| National Health Care | COMM | $24.38 |
| Multiplan | PHCSPrimaryNetwork | $28.12 |
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