Ondansetron injection at Intermountain Health American Fork Hospital. CPT J2405.
What Intermountain Health American Fork Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$2.70cash price (self-pay)
$3.84list price
$0.09–$3.67range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $0.93 |
| SelectHealth | Signature Individual ACA | $0.95 |
| SelectHealth | Value Individual ACA | $0.95 |
| SelectHealth | Med Individual ACA | $1.07 |
| Intermountain Caregiver Plan | Share Network | $1.53 |
| SelectHealth | FEHBP | $1.53 |
| SelectHealth | SelectShare | $1.53 |
| SelectHealth | SelectValue | $1.53 |
| Intermountain Caregiver Plan | Med Network | $1.74 |
| SelectHealth | CHP | $1.74 |
| SelectHealth | CH{ | $1.74 |
| SelectHealth | Commercial | $1.74 |
| SelectHealth | SelectCare | $1.82 |
| EMI | Commercial | $2.07 |
| Deseret Mutual | All Other | $2.21 |
| Deseret Mutual | Select | $2.21 |
| Cigna | Open Access Flex | $2.42 |
| AWH Connected | Connected Utah | $2.47 |
| EMI Health | Mint | $2.67 |
| EMI Health | Network Care | $2.67 |
| PEHP | Advantage State | $2.67 |
| PEHP | Advantage Non-State | $2.73 |
| AG Administrators | USU Athletics | $2.76 |
| BYU Athletics | Commercial | $2.76 |
| Campbell Scientific | Commercial | $2.76 |
| CorVel Corporation | Workers Comp | $2.76 |
| Franklin County | Commercial | $2.76 |
| Juniper Systems | Commercial | $2.76 |
| LW Miller | Commercial | $2.76 |
| BYU Risk Management | Workers Comp | $2.80 |
Inpatient
$2.70cash price (self-pay)
$3.84list price
$0.06–$3.67range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $0.07 |
| Intermountain Caregiver Plan | Share Network | $1.63 |
| SelectHealth | FEHBP | $1.63 |
| Intermountain Caregiver Plan | Med Network | $1.85 |
| SelectHealth | CHP | $1.85 |
| SelectHealth | CH{ | $1.85 |
| SelectHealth | Commercial | $1.85 |
| EMI | Commercial | $2.07 |
| Deseret Mutual | All Other | $2.21 |
| Deseret Mutual | Select | $2.21 |
| Regence BCBS | BlueOption | $2.37 |
| Cigna | Open Access Flex | $2.42 |
| AWH Connected | Connected Utah | $2.44 |
| EMI Health | Mint | $2.67 |
| EMI Health | Network Care | $2.67 |
| PEHP | Advantage State | $2.67 |
| BYU Risk Management | Workers Comp | $2.69 |
| Corporation of the President | Workers Comp | $2.69 |
| Regence BCBS | High Performance | $2.69 |
| Regence BCBS | FEHBP | $2.71 |
| PEHP | Advantage Non-State | $2.73 |
| AG Administrators | USU Athletics | $2.76 |
| BYU Athletics | Commercial | $2.76 |
| Campbell Scientific | Commercial | $2.76 |
| CorVel Corporation | Workers Comp | $2.76 |
| Franklin County | Commercial | $2.76 |
| Juniper Systems | Commercial | $2.76 |
| LW Miller | Commercial | $2.76 |
| Injury Care of Nevada | Workers Comp | $2.88 |
| Regence BCBS | Traditional | $2.92 |
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All common services at Intermountain Health American Fork Hospital