Ondansetron injection at Intermountain Health Utah Valley Hospital. CPT J2405.
What Intermountain Health Utah Valley Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$3.06cash price (self-pay)
$5.70list price
$0.09–$5.13range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SelectHealth | Signature Individual ACA | $1.08 |
| SelectHealth | Value Individual ACA | $1.08 |
| SelectHealth | Med Individual ACA | $1.22 |
| Donor Connect | Other | $1.36 |
| Intermountain Caregiver Plan | Share Network | $2.08 |
| SelectHealth | FEHBP | $2.08 |
| SelectHealth | SelectShare | $2.08 |
| SelectHealth | SelectValue | $2.08 |
| Intermountain Caregiver Plan | Med Network | $2.36 |
| SelectHealth | CHP | $2.36 |
| SelectHealth | Med | $2.36 |
| SelectHealth | SelectCare | $2.47 |
| EMI | Commercial | $3.08 |
| Deseret Mutual | All Other | $3.28 |
| Deseret Mutual | Connected Utah | $3.28 |
| Cigna | Open Access Flex | $3.59 |
| AWH Connected | Connected Utah | $3.68 |
| EMI Health | Mint | $3.96 |
| EMI Health | Network Care | $3.96 |
| PEHP | Advantage Non-State | $4.05 |
| AG Administrators | USU Athletics | $4.10 |
| BYU Athletics | Commercial | $4.10 |
| Campbell Scientific | Commercial | $4.10 |
| CorVel Corporation | Workers Comp | $4.10 |
| Franklin County | Commercial | $4.10 |
| Juniper Systems | Commercial | $4.10 |
| LW Miller | Commercial | $4.10 |
| BYU Risk Management | Workers Comp | $4.16 |
| Corporation of the President | Workers Comp | $4.16 |
| Injury Care of Nevada | Workers Comp | $4.28 |
Inpatient
$3.06cash price (self-pay)
$5.70list price
$0.06–$5.13range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $0.08 |
| Health Plan of Nevada | Medicaid | $1.71 |
| Intermountain Caregiver Plan | Share Network | $2.42 |
| Intermountain Caregiver Plan | Med Network | $2.75 |
| SelectHealth | CHP | $2.75 |
| EMI | Commercial | $3.08 |
| Deseret Mutual | All Other | $3.28 |
| Deseret Mutual | Connected Utah | $3.28 |
| Regence BCBS | BlueOption | $3.52 |
| Cigna | Open Access Flex | $3.59 |
| AWH Connected | Connected Utah | $3.62 |
| EMI Health | Mint | $3.96 |
| EMI Health | Network Care | $3.96 |
| PEHP | Advantage State | $3.97 |
| BYU Risk Management | Workers Comp | $3.99 |
| Corporation of the President | Workers Comp | $3.99 |
| Regence BCBS | High Performance | $3.99 |
| Regence BCBS | FEHBP | $4.02 |
| PEHP | Advantage Non-State | $4.05 |
| AG Administrators | USU Athletics | $4.10 |
| BYU Athletics | Commercial | $4.10 |
| Campbell Scientific | Commercial | $4.10 |
| CorVel Corporation | Workers Comp | $4.10 |
| Franklin County | Commercial | $4.10 |
| Juniper Systems | Commercial | $4.10 |
| LW Miller | Commercial | $4.10 |
| Injury Care of Nevada | Workers Comp | $4.28 |
| Regence BCBS | Traditional | $4.33 |
| Managed Care Admin | Commercial | $4.45 |
| Aetna | Connected | $4.56 |
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All common services at Intermountain Health Utah Valley Hospital