Ondansetron injection at Black River Memorial Hospital. CPT J2405.
What Black River Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 8, 2026.
Outpatient / ER
$38.32cash price (self-pay)
$43.13list price
$0.10–$44.98range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz Health Solutions, Inc | Commercial / Self-Insured | $0.10 |
| Humana | Medicare Advantage | $22.00 |
| Anthem BCBS | Medicare Advantage | $22.00 |
| My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Me | $22.00 |
| My Choice Wisconsin, Inc. | Medicare Dual Advantage | $22.00 |
| Quartz Health Solutions, Inc | Senior Preferred | $22.00 |
| Security Health Plan | Badgercare Plus | $22.00 |
| Security Health Plan | Medicare Advantage | $22.00 |
| United Health Care | Medicare Advantage | $22.00 |
| United Health Care | VA Plan | $22.00 |
| Anthem BCBS | Commercial | $25.30 |
| Corvel | Automobile liability / Accident & Health | $26.31 |
| Corvel | Workers' Compensation | $26.31 |
| Security Health Plan | EPO | $36.12 |
| The Alliance | Worker's Compensation | $36.66 |
| Triology Health Solutions | Health Plan | $38.82 |
| Humana | Commercial | $40.11 |
| The Alliance | Health Plan | $40.11 |
| Medica | Health Plan | $40.28 |
| Security Health Plan | Commercial | $40.28 |
| United Health Care | Commercial | $40.67 |
| Association Benefits Solution | Health Plan | $40.98 |
| First Health Group Corporation | MultiPlan PPC Network | $40.98 |
| Provider Network of America | Health Plan | $40.98 |
| Triology Health Solutions | Workers Compensation | $40.98 |
| Family Health Center of Marshfield | Health Plan | $40.98 |
| Cofinity | Cofinity Health Plan | $41.84 |
| Connecticut General Life Insurance Company (CIGNA) | Health Plan | $41.84 |
| Coventry Health Care | Health Plan | $41.84 |
| Custom Benefit Administrators | Health Plan | $41.84 |
Inpatient
$38.32cash price (self-pay)
$43.13list price
$0.10–$44.98range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| The Alliance | Health Plan | $41.41 |
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