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Ondansetron injection at Wj Mangold Memorial Hospital. CPT J2405.

What Wj Mangold Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.

Outpatient / ER

$81.00cash price (self-pay)
$81.00list price
$32.85–$62.05range insurers pay
Insurance planNegotiated rate
United HealthCare | Commercial$32.85
Amerigroup | Medicare Advantage$33.21
FirstCare | Medicare$33.21
Humana | Medicare Advantage$33.21
United HealthCare | Mediare Advantage$33.21
TriCare | TriCare$33.92
Amerigroup | CHIP$52.33
Amerigroup | Medicaid$52.33
FirstCare | CHIP$52.33
FirstCare | Medicaid$52.33
FirstCare | Commercial$54.75
FirstCare | PPO$54.75
Blue Cross Blue Shield | Commercial$58.40
Cigna HealthCare | Commercial$58.40
TeamChoice | PPO$58.40
Aetna Health Inc. | Commercial$62.05
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All common services at Wj Mangold Memorial Hospital