Ketorolac injection, 15 mg at Hca Florida Lake Monroe Hospital. CPT J1885.
What Hca Florida Lake Monroe Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$17.00cash price (self-pay)
$22.75list price
$0.33–$24.30range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | TRICARE | $0.33 |
| United | AllPayerAppendix | $1.02 |
| BCBS | Bsl | $1.98 |
| BCBS | Mbn | $1.98 |
| BCBS | Sbn | $1.98 |
| Truli | BSL | $1.98 |
| BCBS | Nwb | $2.84 |
| BCBS | PPO | $2.84 |
| BCBS | HMO | $3.07 |
| Simply | MGMCR | $3.50 |
| BCBS | Phs | $4.82 |
| Evolutions | TieredNetwork | $5.23 |
| Aetna | ASA | $6.83 |
| Molina Healthcare | HIX | $7.28 |
| United | OptionsPPO | $7.60 |
| Florida Health Care Plan | COMM | $8.96 |
| United | GlobalBenefitPlan | $10.24 |
| AmeriHealth Caritas | HIX | $11.38 |
| AvMed | HIXOON | $11.38 |
| Plotkin Health | COMM | $11.38 |
| Prime Health Sheriff | COMM | $11.38 |
| Prime Health Sheriff | WORKERSCOMP | $11.38 |
| Multiplan | PRIMARYPPO | $17.06 |
| Three Rivers Provider Network | WorkersComp | $17.06 |
| Multiplan | Primary | $17.75 |
| Multiplan | Complementary | $19.34 |
| Multiplan | COMPLEMENTARYPPO | $19.34 |
| PPO Next | COMM | $19.34 |
| PPO Next | PPO | $19.34 |
| NovaNet | COMM | $20.48 |
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