Ondansetron injection at Froedtert Menomonee Falls Hospital. CPT J2405.
What Froedtert Menomonee Falls Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$22.51cash price (self-pay)
$53.58list price
$0.09–$59.63range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Network Health Plan | ACA | $0.09 |
| Network Health Plan | All Contracted Commercial Plans | $0.10 |
| United Healthcare | Choice Plus/Navigate | $0.10 |
| United Healthcare | Nexus | $0.10 |
| United Healthcare | Options PPO | $0.10 |
| Anthem Blue Cross Blue Shield | HMO | $0.12 |
| Anthem Blue Cross Blue Shield (Healthlink) | PPO | $0.45 |
| Centivo | WI 2 Median | $16.07 |
| Centivo | WI 1 Broad | $17.68 |
| UMR | MCW Employees | $17.68 |
| Froedtert South | All Contracted Commercial Plans | $22.50 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $23.04 |
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $25.36 |
| Common Ground | All Contracted Commercial Plans | $32.15 |
| Health Partners | All Contracted Commercial Plans | $34.83 |
| Trilogy | All Contracted Commercial Plans | $36.97 |
| Health Payment Systems | All Contracted Commercial Plans | $37.27 |
| Aetna | All Contracted Commercial Plans | $37.51 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $37.51 |
| Aspirus | All Contracted Commercial Plans | $42.86 |
| IBSI Passport | All Contracted Commercial Plans | $43.40 |
| Americas Choice | PPO | $46.62 |
| Federated Mutual | All Contracted Commercial Plans | $46.62 |
| HealthEos | All Contracted Commercial Plans | $46.62 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $46.62 |
| Savility | All Contracted Commercial Plans | $46.62 |
| Cigna | All Contracted Commercial Plans | $47.15 |
| First Health Network | All Contracted Commercial Plans | $47.15 |
| HealthSmart | All Contracted Commercial Plans | $48.23 |
| Physicians Plus | HMO | $48.23 |
Inpatient
$22.51cash price (self-pay)
$53.58list price
$20.46–$59.63range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | HMO | $26.80 |
| Centivo | WI 1 Broad | $26.80 |
| Centivo | WI 2 Median | $26.80 |
| Anthem Blue Cross Blue Shield (Healthlink) | PPO | $32.15 |
| Common Ground | All Contracted Commercial Plans | $32.15 |
| Trilogy | All Contracted Commercial Plans | $36.97 |
| Health Payment Systems | All Contracted Commercial Plans | $37.27 |
| Aetna | All Contracted Commercial Plans | $37.51 |
| Aspirus | All Contracted Commercial Plans | $42.86 |
| IBSI Passport | All Contracted Commercial Plans | $43.40 |
| Americas Choice | PPO | $46.62 |
| Federated Mutual | All Contracted Commercial Plans | $46.62 |
| HealthEos | All Contracted Commercial Plans | $46.62 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $46.62 |
| Savility | All Contracted Commercial Plans | $46.62 |
| First Health Network | All Contracted Commercial Plans | $47.15 |
| HealthSmart | All Contracted Commercial Plans | $48.23 |
| Physicians Plus | HMO | $48.23 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.