Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
Ketchum, ID
See all hospitals reporting HCPCS J2405 →Price type
St Luke's Wood River Medical Center, LTD’s median price of $4 is 36% above the median hospital's median price ($3), higher than 55% of the 2,367 hospitals reporting HCPCS J2405. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Cigna hb wr cigna fee schedule · outpatient | $0.43 | $0.32 | $0.11 – $0.43 |
| 2 | Molina hb wr molina mmcp percent of total billed charges · bothfrom % of charges | $2.82 | $3.97 | $0.56 – $8.52 |
| 3 | Regence hb wr medicare advantage percent of total billed charges · bothfrom % of charges | $2.82 | $3.97 | $0.56 – $8.52 |
| 4 | Blue Cross Blue Shield hb wr bci true & secure med adv percent of total billed charges · bothfrom % of charges | $2.84 | $4.00 | $0.57 – $8.60 |
| 5 | Molina hb wr molina med adv percent of total billed charges · bothfrom % of charges | $2.87 | $4.05 | $0.58 – $8.69 |
| 6 | Aetna hb wr aetna med adv percent of total billed charges · bothfrom % of charges | $3.10 | $4.36 | $0.62 – $9.37 |
| 7 | UnitedHealthcare hb wr aarp med adv percent of total billed charges · bothfrom % of charges | $2.96 | $4.76 | $0.59 – $8.94 |
| 8 | Bcbs Id hb wr bci ppo fep percent of total billed charges · bothfrom % of charges | $4.14 | $5.73 | $0.81 – $12.25 |
| 9 | Blue Cross Blue Shield hb wr bci ppo fep percent of total billed charges · bothfrom % of charges | $4.14 | $5.73 | $0.81 – $12.25 |
| 10 | Aetna hb wr aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $4.45 | $6.26 | $0.89 – $13.45 |
| 11 | Cigna hb wr cigna percent of total billed charges · inpatientfrom % of charges | $4.59 | $6.47 | $0.92 – $13.89 |
| 12 | First Health hb wr first choice health percent of total billed charges · bothfrom % of charges | $4.69 | $6.61 | $0.94 – $14.19 |
| 13 | First Health hb wr ccn first health percent of total billed charges · bothfrom % of charges | $4.79 | $6.75 | $0.96 – $14.49 |
| 14 | UnitedHealthcare hb wr united healthcare percent of total billed charges · bothfrom % of charges | $4.47 | $7.21 | $0.90 – $13.52 |
| 15 | Aetna hb wr bp aetna percent of total billed charges · bothfrom % of charges | $4.69 | $7.56 | $0.94 – $14.19 |
Last updated: Mar 25, 2026
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