Ondansetron injection at Prosser Memorial Hospital. CPT J2405.
What Prosser Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$15.31cash price (self-pay)
$27.83list price
$5.57–$25.05range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Permanente | All Commercial Plans | $5.57 |
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $5.93 |
| Coordinated Care | All Medicaid Plans | $5.93 |
| Kaiser Permanente | All Medicaid Plans | $5.93 |
| United Healthcare | All Medicaid Plans | $5.93 |
| Molina | All Medicaid Plans | $6.22 |
| Amerigroup | All Medicaid Plans | $6.28 |
| Community Health Plan of Washington | All Medicare Plans | $6.96 |
| Health Alliance Northwest | All Medicare Plans | $6.96 |
| Kaiser Permanente | All Medicare Plans | $6.96 |
| Molina | All Medicare & Marketplace Plans | $6.96 |
| United Healthcare | All Medicare Plans | $6.96 |
| Wellcare | All Medicare Plans | $6.96 |
| Humana | All Medicare Plans | $7.03 |
| Aetna | All Medicare Plans | $8.35 |
| Ambetter | All Commercial Plans | $19.48 |
| Asuris | PPO, POS Commercial Plans | $22.26 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $22.26 |
| Premera | All Commercial Plans | $22.26 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $22.26 |
| United Healthcare | All Commercial Plans | $22.26 |
| Cigna | All Commercial Plans | $22.82 |
| Aetna | All Commercial Plans | $23.66 |
| First Choice | All Commercial Plans | $23.66 |
| Humana | All Commercial Plans | $23.66 |
| MultiPlan | All Commercial Plans | $23.66 |
| Asuris | All Other Commercial Plans | $25.05 |
| Health Management Adminstrators | All Other Commercial Plans | $25.05 |
| Regence | All Other Commercial Plans | $25.05 |
Inpatient
$15.31cash price (self-pay)
$27.83list price
$11.27–$25.33range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $11.27 |
| Coordinated Care | All Medicaid Plans | $11.27 |
| Kaiser Permanente | All Medicaid Plans | $11.27 |
| Molina | All Medicaid Plans | $11.27 |
| United Healthcare | All Medicaid Plans | $11.27 |
| Amerigroup | All Medicaid Plans | $11.95 |
| Ambetter | All Commercial Plans | $21.43 |
| Aetna | All Commercial Plans | $22.26 |
| Asuris | PPO, POS Commercial Plans | $22.26 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $22.26 |
| Premera | All Commercial Plans | $22.26 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $22.26 |
| Cigna | All Commercial Plans | $22.82 |
| First Choice | All Commercial Plans | $23.66 |
| Humana | All Commercial Plans | $23.66 |
| Asuris | All Other Commercial Plans | $25.05 |
| Health Management Adminstrators | All Other Commercial Plans | $25.05 |
| MultiPlan | All Commercial Plans | $25.05 |
| Regence | All Other Commercial Plans | $25.05 |
| Kaiser Permanente | All Commercial Plans | $25.33 |
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