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Ondansetron injection at Froedtert West Bend Hospital. CPT J2405.

What Froedtert West Bend Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.

Outpatient / ER

$18.66cash price (self-pay)
$50.08list price
$0.09–$62.94range insurers pay
Insurance planNegotiated rate
Network Health Plan | ACA$0.09
Sheboygan Employers Health Network | All Contracted Commercial Payers$0.10
Network Health Plan | All Contracted Commercial Payers$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 | PPO$0.45
Centivo | WI 2 Median$15.02
Centivo | WI 1 Broad$16.52
UMR | MCW Employees$16.52
Froedtert South | All Contracted Commercial Plans$21.04
Chorus Community Health Plan | All Contracted Commercial Plans$21.54
Common Ground | All Contracted Commercial Plans$30.05
Health Payment Systems | Group Specific$31.54
Health Partners | All Contracted Commercial Plans$32.55
Aetna | All Contracted Commercial Plans$35.06
Wisconsin Physician Services | All Contracted Commercial Plans$40.06
Health Payment Systems | Other Commercial Plans$40.48
Trilogy | All Contracted Commercial Plans$41.07
Americas Choice | PPO$43.57
HealthEos | All Contracted Commercial Plans$43.57
Multiplan/Private Healthcare Systems | All Contracted Commercial Plans$43.57
First Health Network | All Contracted Commercial Plans$44.07
Hfn | PPO$45.08
IBSI Passport | All Contracted Commercial Plans$45.08
Cigna | All Contracted Commercial Plans$47.58
HealthSmart | All Contracted Commercial Plans$47.58

Inpatient

$18.66cash price (self-pay)
$50.08list price
$16.96–$62.94range insurers pay
Insurance planNegotiated rate
Anthem Blue Cross Blue Shield | HMO$25.05
Centivo | WI 1 Broad$25.05
Centivo | WI 2 Median$25.05
Anthem Blue Cross Blue Shield | PPO$30.05
Common Ground | All Contracted Commercial Plans$30.05
Health Payment Systems | Group Specific$31.54
Aetna | All Contracted Commercial Plans$35.06
Health Payment Systems | Other Commercial Plans$40.48
Trilogy | All Contracted Commercial Plans$41.07
Americas Choice | PPO$43.57
HealthEos | All Contracted Commercial Plans$43.57
Multiplan/Private Healthcare Systems | All Contracted Commercial Plans$43.57
First Health Network | All Contracted Commercial Plans$44.07
Hfn | PPO$45.08
IBSI Passport | All Contracted Commercial Plans$45.08
Cigna | All Contracted Commercial Plans$47.58
HealthSmart | All Contracted Commercial Plans$47.58
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All common services at Froedtert West Bend Hospital