Ondansetron injection at Aurora Medical Center Manitowoc. CPT J2405.
What Aurora Medical Center Manitowoc publishes for this service, straight from its standard-charges file, last updated November 21, 2025.
Outpatient / ER
$5.07cash price (self-pay)
$10.16list price
$0.09–$8.77range 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 | $5.08 |
| Wisconsin Physician Service | Aurora Featured | $5.28 |
| Trilogy | Commercial | $5.59 |
| Wisconsin Physician Service | Arise | $5.59 |
| Wisconsin Physician Service | Statewide | $5.59 |
| United Healthcare | Charter | $6.04 |
| United Healthcare | Exchange | $6.04 |
| United Healthcare | HMO | $6.04 |
| United Healthcare | Nexus | $6.04 |
| Health EOS Plus | Commercial | $6.10 |
| HealthPartners | Broad | $7.62 |
| Health EOS | PPO | $8.13 |
| Aetna | PPO | $8.39 |
| United Healthcare | PPO | $8.55 |
Inpatient
$5.07cash price (self-pay)
$10.16list price
$6.08–$8.77range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health EOS Plus | Commercial | $6.10 |
| HealthPartners | Broad | $7.62 |
| Health EOS | PPO | $8.13 |
| Aetna | PPO | $8.39 |
| United Healthcare | PPO | $8.55 |
| Cigna | PPO | $8.60 |
| Anthem | PPO | $8.64 |
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