Ondansetron injection at Aurora Medical Center Grafton. CPT J2405.
What Aurora Medical Center Grafton publishes for this service, straight from its standard-charges file, last updated November 21, 2025.
Outpatient / ER
$6.12cash price (self-pay)
$12.43list price
$0.09–$10.68range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | HMO | $0.09 |
| Anthem | Blue Priority | $0.09 |
| Aurora Caregiver | Commercial | $0.09 |
| Anthem | Blue Preferred | $0.11 |
| HealthPartners | Employee Trust Fund | $0.11 |
| HealthPartners | Robin | $0.11 |
| Centivo | Commercial | $0.12 |
| Common Ground | Employee Trust Fund | $0.12 |
| Common Ground | Envision | $0.12 |
| Common Ground | Exchange | $0.12 |
| Health Payment Systems | Commercial | $0.12 |
| Quartz One | Commercial | $0.12 |
| Quartz Group | Commercial | $0.14 |
| Molina Exchange | Commercial | $0.22 |
| Everpointe Elite | Commercial | $0.28 |
| Cigna | PPO-GPPO | $1.22 |
| HS Technology | Commercial | $6.22 |
| Wisconsin Physician Service | Aurora Featured | $6.46 |
| Trilogy | Commercial | $6.83 |
| Wisconsin Physician Service | Arise | $6.83 |
| Wisconsin Physician Service | Statewide | $6.83 |
| United Healthcare | Charter | $7.38 |
| United Healthcare | Exchange | $7.38 |
| United Healthcare | HMO | $7.38 |
| United Healthcare | Nexus | $7.38 |
| Health EOS Plus | Commercial | $7.46 |
| HealthPartners | Broad | $9.32 |
| Health EOS | PPO | $9.95 |
| Aetna | PPO | $10.27 |
| United Healthcare | PPO | $10.46 |
Inpatient
$6.12cash price (self-pay)
$12.43list price
$7.34–$10.68range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health EOS Plus | Commercial | $7.46 |
| HealthPartners | Broad | $9.32 |
| Health EOS | PPO | $9.95 |
| Aetna | PPO | $10.27 |
| United Healthcare | PPO | $10.46 |
| Cigna | PPO | $10.52 |
| Anthem | PPO | $10.56 |
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