Ondansetron injection at Lewisgale Medical Center. CPT J2405.
What Lewisgale Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$54.50cash price (self-pay)
$136list price
$0.08–$218range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Net | TRICR | $0.08 |
| TriAtlantic | TRICR | $0.08 |
| Humana Military | TRCR | $0.09 |
| United | AllPayerAppendix | $0.27 |
| Aetna | MGMCR | $20.44 |
| Cigna | NPR | $23.70 |
| Virginia Health Network | ULTRA | $47.69 |
| United | OptionsPPO | $49.73 |
| Cigna | HMO | $54.64 |
| Cigna | PPO | $59.95 |
| United | GlobalBenefitPlan | $61.31 |
| Naphcare | Federal | $68.12 |
| Greenvbrier Sporting Club | COMM | $81.75 |
| Graham-White Manufacturing | COMM | $95.38 |
| Richfield Nursing Center | COMM | $95.38 |
| Virginia Health Network | COMM | $96.74 |
| Virginia Health Network | WC | $96.74 |
| CorVel | WorkersComp | $98.10 |
| Community Care Network | COMM | $102 |
| Richfield Retirement Community | COMM | $102 |
| CSX Hotels | Product | $109 |
| OccuNet Workers Comp | WorkersComp | $109 |
| One Health Plan | POS | $109 |
| One Health Plan | PPO | $109 |
| Patients Choice | COMM | $120 |
| 4Most | COMM | $123 |
| Alleghany Highland Community | COMM | $123 |
| American Postal Workers Union | COMM | $123 |
| C&O Employees Hospital Assn | COMM | $123 |
| Multiplan | PHCS | $123 |
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