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Ondansetron injection at Intermountain Health Sevier Valley Hospital. CPT J2405.

What Intermountain Health Sevier Valley Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.

Outpatient / ER

$2.14cash price (self-pay)
$3.68list price
$0.09–$4.33range insurers pay
Insurance planNegotiated rate
Injury Care of Nevada | Workers Comp$2.76
BYU Risk Management | Workers Comp$3.12
CorVel Corporation | Workers Comp$3.12
Corporation of the President | Workers Comp$3.12
AG Administrators | USU Athletics$3.50
Aetna | Standard$3.50
BYU Athletics | Commercial$3.50
Campbell Scientific | Commercial$3.50
Cigna | HMO$3.50
Cigna | Open Access Flex$3.50
Cigna | PPO/EPO$3.50
Deseret Mutual | All Other$3.50
Deseret Mutual | Select$3.50
EMI Health | Mint$3.50
EMI Health | Network Care$3.50
EMI | Commercial$3.50
Franklin County | Commercial$3.50
Global Excel | Commercial$3.50
Health Utah | Commercial$3.50
Humana | Commercial$3.50
Hygeia Corporation | Commercial$3.50
Intermountain Caregiver Plan | Med Network$3.50
Juniper Systems | Commercial$3.50
LW Miller | Commercial$3.50
Managed Care Admin | Commercial$3.50
MedCare International | Commercial$3.50
Molina | CHIP$3.50
Molina | Marketplace$3.50
MotivHealth | Commercial$3.50
PEHP | All Plans$3.50

Inpatient

$2.14cash price (self-pay)
$3.68list price
$2.14–$4.28range insurers pay
Insurance planNegotiated rate
Injury Care of Nevada | Workers Comp$2.76
BYU Risk Management | Workers Comp$3.12
CorVel Corporation | Workers Comp$3.12
Corporation of the President | Workers Comp$3.12
Health Plan of Nevada | Medicaid$3.27
Healthy U | Medicaid$3.27
Molina | Medicaid$3.27
AG Administrators | USU Athletics$3.50
AWH Connected | Connected Utah$3.50
Aetna | Connected$3.50
Aetna | Extended$3.50
Aetna | Standard$3.50
BYU Athletics | Commercial$3.50
Campbell Scientific | Commercial$3.50
Cigna | HMO$3.50
Cigna | Open Access Flex$3.50
Cigna | PPO/EPO$3.50
Deseret Mutual | All Other$3.50
Deseret Mutual | Select$3.50
EMI Health | Mint$3.50
EMI Health | Network Care$3.50
EMI | Commercial$3.50
Franklin County | Commercial$3.50
Global Excel | Commercial$3.50
Health Utah | Commercial$3.50
Humana | Commercial$3.50
Hygeia Corporation | Commercial$3.50
Intermountain Caregiver Plan | Med Network$3.50
Juniper Systems | Commercial$3.50
LW Miller | Commercial$3.50
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All common services at Intermountain Health Sevier Valley Hospital