Ondansetron injection at Froedtert Bluemound Rehabilitation Hospital. CPT J2405.
What Froedtert Bluemound Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$20.68cash price (self-pay)
$37.60list price
$0.08–$32.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Network Health Plan | Marketplace Plans | $0.08 |
| Network Health Plan | All Contracted Commercial Payers | $0.09 |
| Sheboygan Employers Health Network | All Contracted Commercial Payers | $0.10 |
| United Healthcare | Nexus | $0.10 |
| United Healthcare/United Medical Resources | Choice Plus/Navigate | $0.10 |
| United Healthcare/United Medical Resources | Options PPO | $0.10 |
| Anthem Blue Cross Blue Shield (Healthlink) | Federal/Out of State/PPO | $0.45 |
| Anthem Blue Cross Blue Shield | Blue Preferred/POS | $0.61 |
| Centivo | WI 2 Median | $11.28 |
| Centivo | WI 1 Broad | $12.41 |
| Medical College of Wisconsin | Employee Plan | $12.41 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $14.66 |
| Froedtert South | All Contracted Commercial Plans | $15.04 |
| Health Partners | All Contracted Commercial Plans | $23.31 |
| Wisconsin Physician Services Statewide Alliance | All Contracted Comme | $23.69 |
| Aetna | All Contracted Commercial Plans | $24.44 |
| Trilogy | All Contracted Commercial Plans | $24.44 |
| Health Payment Systems | All Contracted Commercial Plans | $24.74 |
| Cigna | All Contracted Commercial Plans | $29.33 |
| Security Health Plan | All Contracted Commercial Plans | $29.56 |
| Dean Health Plan | All Contracted Commercial Plans | $30.08 |
| Group Health Cooperative | All Contracted Commercial Plans | $30.08 |
| HealthEos | All Contracted Commercial Plans | $30.08 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $30.08 |
| HealthSmart | All Contracted Commercial Plans | $31.21 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $31.96 |
| First Health Network | All Contracted Commercial Plans | $32.52 |
Inpatient
$20.68cash price (self-pay)
$37.60list price
$16.62–$32.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Network Health Plan | Marketplace Plans | $16.62 |
| Anthem Blue Cross Blue Shield | Blue Preferred/POS | $18.80 |
| Centivo | WI 1 Broad | $18.80 |
| Centivo | WI 2 Median | $18.80 |
| Medical College of Wisconsin | Employee Plan | $18.80 |
| Network Health Plan | All Contracted Commercial Payers | $18.80 |
| United Healthcare | Nexus | $18.80 |
| United Healthcare/United Medical Resources | Choice Plus/Navigate | $18.80 |
| United Healthcare/United Medical Resources | Options PPO | $18.80 |
| Anthem Blue Cross Blue Shield (Healthlink) | Federal/Out of State/PPO | $22.56 |
| Aetna | All Contracted Commercial Plans | $24.44 |
| Trilogy | All Contracted Commercial Plans | $24.44 |
| Health Payment Systems | All Contracted Commercial Plans | $24.74 |
| Security Health Plan | All Contracted Commercial Plans | $29.56 |
| Dean Health Plan | All Contracted Commercial Plans | $30.08 |
| Group Health Cooperative | All Contracted Commercial Plans | $30.08 |
| HealthEos | All Contracted Commercial Plans | $30.08 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $30.08 |
| HealthSmart | All Contracted Commercial Plans | $31.21 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $31.96 |
| First Health Network | All Contracted Commercial Plans | $32.52 |
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All common services at Froedtert Bluemound Rehabilitation Hospital