Ondansetron injection at Bellin Memorial Hospital. CPT J2405.
What Bellin Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$0.44cash price (self-pay)
$1.05list price
$0.13–$1.18range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | ALL PRODUCTS | $0.13 |
| WPS Insurance | BROAD | $0.13 |
| Chorus Community Health Plan | ALL PRODUCTS | $0.19 |
| Healthpartners | Select | $0.52 |
| Healthpartners | Focus | $0.55 |
| Healthpartners | Broad | $0.60 |
| Anthem | Priority | $0.63 |
| Anthem | PPO | $0.70 |
| Anthem | HMO/POS | $0.70 |
| Aspirus Arise | ALL PRODUCTS | $0.70 |
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $0.73 |
| United Health Care | PPO Options | $0.73 |
| HPS/Paymedix | Medical Rental Network Tier 1 | $0.76 |
| Network Health | ALL PRODUCTS | $0.76 |
| Security Health Plan | All Products | $0.80 |
| Trilogy | MEDICAL RENTAL | $0.80 |
| HPS/PayMedix | Medical Rental Network Tier 2 | $0.82 |
| Evernorth | Behavioral Health | $0.84 |
| HEALTHSMART | Medical Rental Network | $0.84 |
| IHS(ClaimsBridge) | Medical Rental Network | $0.84 |
| Medical College of WI | Self-funded employer | $0.84 |
| Multiplan/Healtheos | All Products | $0.84 |
| Allied National | Core Value Programs | $0.89 |
| FIRST HEALTH | Medical Rental Network | $0.89 |
| Galaxy Health | All Products | $0.89 |
| Three Rivers Provider Network | Medical Rental Network | $0.95 |
| Chorus Community Health Plan | Managed Medicaid | $1.08 |
Inpatient
$0.44cash price (self-pay)
$1.05list price
$0.47–$1.04range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $0.74 |
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