Ondansetron injection at St. Luke's Health - The Woodlands Hospital. CPT J2405.
What St. Luke's Health - The Woodlands Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$18.98cash price (self-pay)
$56.17list price
$0.13–$118range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Commercial|Exchange | $0.13 |
| United | Commercial|Charter | $0.19 |
| United | Commercial|HMO | $0.19 |
| United | Commercial|PPO | $0.19 |
| BCBS-TX | Commercial|MyBlue Health Exchange | $0.64 |
| BCBS-TX | Commercial|Exchange | $0.73 |
| BCBS-TX | Commercial|Blue Premier | $1.25 |
| BCBS-TX | Commercial|HMO | $1.57 |
| BCBS-TX | Commercial|PPO | $1.92 |
| Cigna | Commercial|PPO | $2.36 |
| Cigna | Commercial|HMO | $2.49 |
| Cigna | Commercial|Surefit | $2.49 |
| Aetna-Kelsey Care | Commercial|HMO | $12.36 |
| Aetna | Commercial|HMO | $14.61 |
| Aetna | Commercial|PPO | $14.61 |
| OPTUM | Medicare|All Plans | $15.17 |
| Aetna | Commercial|Transplant | $17.98 |
| TCHPCHIP | Medicaid|HMO | $19.66 |
| OPTUM | Medicaid|STAR | $20.33 |
| United | Commercial|Optum | $26.41 |
| Humana | Commercial|HMO | $26.97 |
| Humana | Commercial|PPO | $26.97 |
| KelseyCare | Commercial|All Other Plans | $27.53 |
| CHC | Medicaid|CHIP | $30.90 |
| CHC | Medicaid|HMO | $30.90 |
| TEXASTRUECHOICE | Medicaid|CHIP | $30.90 |
| Cigna Lifesource | Commercial|Transplant | $33.71 |
| Independent Med System | Commercial|All Plans | $33.71 |
| Coventry | Commercial|PPO | $36.52 |
| First Health | Commercial|All Plans | $36.52 |
Inpatient
$18.98cash price (self-pay)
$56.17list price
$11.93–$118range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $12.36 |
| Aetna | Commercial|HMO | $14.61 |
| Aetna | Commercial|PPO | $14.61 |
| United | Commercial|Exchange | $14.61 |
| Aetna | Commercial|Transplant | $17.98 |
| Bright Health | Commercial|All Plans | $18.54 |
| United | Commercial|Charter | $19.11 |
| Cigna | Commercial|HMO | $20.23 |
| Cigna | Commercial|PPO | $20.23 |
| Cigna | Commercial|Surefit | $20.23 |
| United | Commercial|HMO | $21.35 |
| United | Commercial|PPO | $21.35 |
| TCHPCHIP | Medicaid|HMO | $24.16 |
| KelseyCare | Commercial|All Other Plans | $27.53 |
| CHC | Medicaid|CHIP | $30.90 |
| CHC | Medicaid|HMO | $30.90 |
| TEXASTRUECHOICE | Medicaid|CHIP | $30.90 |
| Independent Med System | Commercial|All Plans | $33.71 |
| Coventry | Commercial|PPO | $36.52 |
| First Health | Commercial|All Plans | $36.52 |
| Humana | Commercial|Transplant | $36.52 |
| Cigna | Commercial|Transplant | $39.33 |
| Healthsmart | Commercial|PPO | $39.33 |
| Interlink | Commercial|Transplant | $39.33 |
| PHCS Savility | Commercial|PPO | $39.33 |
| PHCS | Commercial|All Plans | $39.33 |
| MultiPlan | Commercial|All Plans | $42.14 |
| USA Health Network | Commercial|All Plans | $47.75 |
| MHealth Network | Commercial|PPO | $56.17 |
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All common services at St. Luke's Health - The Woodlands Hospital