Ondansetron injection at UVA Health Haymarket Medical Center. CPT J2405.
What UVA Health Haymarket Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$1.10cash price (self-pay)
$20.80list price
$0.10–$73.02range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $0.20 |
| TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $0.20 |
| CAREFIRST [30007] | UVAPW & UVAHM - Carefirst HMO | $0.30 |
| CAREFIRST [30007] | UVAPW & UVAHM - Carefirst RPN | $0.30 |
| CIGNA [40005] | UVAPW & UVAHM - Cigna (OAP) | $3.23 |
| Cigna [40005] | Cigna 182223 PPO [4000520] | $3.65 |
| Cigna [40005] | Cigna Nalc Supplemental [4000510] | $3.65 |
| AETNA [40002] | UVAPW & UVAHM - Aetna | $9.86 |
| United Healthcare [40032] | United Exchange Plan [4003231] | $11.61 |
| GEHA [40009] | UVAPW & UVAHM - United (All Payer) | $12.90 |
| UNITED HEALTHCARE [40032] | UVAPW & UVAHM - United (All Payer) | $12.90 |
| UNITED HEALTHCARE [40032] | UVAPW & UVAHM - United (Options PPO) | $12.90 |
| Cigna [40005] | Cigna 188061 Connect [4000513] | $13.89 |
| CIGNA [40005] | UVAPW & UVAHM - Cigna (IFP) | $13.89 |
| Multiplan Generic [40035] | Multiplan Generic [4003501] | $15.81 |
| Vhn Generic [40040] | Medcost/Phcs Virginia Generic [4004001] | $15.81 |
| VHN GENERIC [40040] | UVAPW & UVAHM - Misc. (PHCS) | $15.81 |
| SENTARA [40021] | UVAPW & UVAHM - Optima | $16.16 |
| SENTARA BEHAVIORAL HEALTH [40052] | UVAPW & UVAHM - Optima | $16.16 |
| KAISER PERMENENTE [40014] | UVAPW & UVAHM - Misc. (Kaiser) | $18.72 |
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