Ondansetron injection at Intermountain Health Spanish Fork Hospital. CPT J2405.
What Intermountain Health Spanish Fork Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$3.06cash price (self-pay)
$17.04list price
$0.09–$42.44range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SelectHealth | Signature Individual ACA | $1.08 |
| SelectHealth | Value Individual ACA | $1.08 |
| Health Plan of Nevada | Medicaid | $1.22 |
| SelectHealth | Med Individual ACA | $1.22 |
| SelectHealth | Medicaid | $1.22 |
| Intermountain Caregiver Plan | Share Network | $1.73 |
| SelectHealth | FEHBP | $1.73 |
| SelectHealth | SelectShare | $1.73 |
| SelectHealth | SelectValue | $1.73 |
| Intermountain Caregiver Plan | CHP | $1.97 |
| Intermountain Caregiver Plan | Med Network | $1.97 |
| SelectHealth | SelectMed/CHIP | $1.97 |
| SelectHealth | SelectCare | $2.06 |
| Donor Connect | Other | $4.60 |
| EMI | Commercial | $9.20 |
| Deseret Mutual | Commercial | $9.80 |
| Deseret Mutual | Connected Utah | $9.80 |
| Cigna | Open Access Flex | $10.73 |
| AWH Connected | Connected Utah | $10.99 |
| EMI Health | Mint | $11.82 |
| EMI Health | Network Care | $11.82 |
| PEHP | Advantage Non-State | $12.10 |
| BYU Athletics | Commercial | $12.27 |
| Campbell Scientific | Commercial | $12.27 |
| CorVel Corporation | Workers Comp | $12.27 |
| Franklin County | Commercial | $12.27 |
| Juniper Systems | Commercial | $12.27 |
| LW Miller | Commercial | $12.27 |
| BYU Risk Management | Workers Comp | $12.44 |
| Corporation of the President | Workers Comp | $12.44 |
Inpatient
$3.06cash price (self-pay)
$17.04list price
$0.27–$42.44range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $1.11 |
| SelectHealth | Med Individual ACA | $5.08 |
| Health Plan of Nevada | Medicaid | $5.11 |
| Intermountain Caregiver Plan | Share Network | $7.23 |
| SelectHealth | FEHBP | $7.23 |
| Intermountain Caregiver Plan | CHP | $8.21 |
| Intermountain Caregiver Plan | Med Network | $8.21 |
| EMI | Commercial | $9.20 |
| Deseret Mutual | Commercial | $9.80 |
| Deseret Mutual | Connected Utah | $9.80 |
| Regence BCBS | BlueOption | $10.53 |
| Cigna | Open Access Flex | $10.73 |
| AWH Connected | Connected Utah | $10.82 |
| EMI Health | Mint | $11.82 |
| EMI Health | Network Care | $11.82 |
| PEHP | Advantage State | $11.86 |
| BYU Risk Management | Workers Comp | $11.93 |
| Corporation of the President | Workers Comp | $11.93 |
| Regence BCBS | High Performance | $11.93 |
| Regence BCBS | FEHBP | $12.01 |
| PEHP | Advantage Non-State | $12.10 |
| BYU Athletics | Commercial | $12.27 |
| Campbell Scientific | Commercial | $12.27 |
| CorVel Corporation | Workers Comp | $12.27 |
| Franklin County | Commercial | $12.27 |
| Juniper Systems | Commercial | $12.27 |
| LW Miller | Commercial | $12.27 |
| Injury Care of Nevada | Workers Comp | $12.78 |
| Regence BCBS | Traditional | $12.95 |
| Managed Care Admin | Commercial | $13.29 |
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All common services at Intermountain Health Spanish Fork Hospital