Ondansetron injection at St. Luke's Health - Brazosport Hospital. CPT J2405.
What St. Luke's Health - Brazosport Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$5.52cash price (self-pay)
$16.17list price
$0.92–$11.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial|All Plans | $0.92 |
| BCBS-TX | Commercial|Blue Options | $1.17 |
| BCBS-TX | Commercial|Traditional | $1.30 |
| BCBS-TX | Commercial|PPO-POS | $1.32 |
| BCBS-TX | Commercial|HMO | $1.36 |
| BCBS-TX | Commercial|PPO | $1.59 |
| BCBS-TX | Commercial|Blue Advantage HMO | $1.95 |
| Aetna | Medicare|All Plans | $2.43 |
| Entrust | Commercial|All Plans | $6.47 |
| Health First | Commercial|All Plans | $8.09 |
| Aetna | Commercial|All Other Plans | $10.84 |
Inpatient
$5.52cash price (self-pay)
$16.17list price
$5.20–$25.89range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bright Health | Commercial|All Plans | $5.34 |
| Cigna | Commercial|All Plans | $6.47 |
| Entrust | Commercial|All Plans | $6.47 |
| Health First | Commercial|All Plans | $8.09 |
| CHC | Medicaid|All Other Plans | $10.52 |
| CHC | Medicaid|CHIP | $10.52 |
| Aetna | Commercial|All Other Plans | $11.64 |
| CHC | Medicaid|STAR | $25.23 |
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All common services at St. Luke's Health - Brazosport Hospital