Ondansetron injection at Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.). CPT J2405.
What Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$0.13cash price (self-pay)
$0.66list price
$0.11–$0.18range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alliance | 1066_alliance 20220101 | $0.11 |
| Humana HMO POS | 1127_humana 20221001 | $0.12 |
| Humana PPO | 1133_humana PPO 20221001 | $0.12 |
| Humana Preferred | 1134_humana Preferred 20221001 | $0.12 |
| UHC Non Options PPO | 1130_united Health Care Nonoptions 20221001 | $0.15 |
| Cchp Marketplace | 1124_cchp Marketplace 20221001 | $0.17 |
| Trilogy | 1070_trilogy 20220101 | $0.17 |
Inpatient
$0.13cash price (self-pay)
$0.66list price
$0.11–$0.18range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Replacement Shwi | 1085_medicaid Replacement Shwi 20220101 | $0.18 |
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