Ondansetron injection at SSM Health St. Agnes Hospital - Fond du Lac. CPT J2405.
What SSM Health St. Agnes Hospital - Fond du Lac publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$0.09–$0.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Payment System | All Commercial Plans | $0.09 |
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $0.10 |
| Centivo | Broad(WI1) Other Commercial Plan | $0.17 |
| Centivo | Median(WI2) Other Commercial Plan | $0.17 |
| Centivo | Value(WI3) Other Commercial Plan | $0.17 |
| The Alliance | All Commercial Plans | $0.17 |
| UnitedHealthCare | All Commercial Plans | $0.25 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at SSM Health St. Agnes Hospital - Fond du Lac