Ketorolac injection, 15 mg at Lee Memorial Hospital. CPT J1885.

What Lee Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 26, 2026.

Outpatient / ER

$2.00cash price (self-pay)

$4.02list price

$0.33–$26.80range insurers pay

Insurance plan	Negotiated rate
BCBS Medicare [250503] \| BCBS Medicare Replacement [25050301]	$0.33
Align Senior Care [250524] \| Align Medicare Replacement [25052401]	$0.35
Aetna Coventry Mcr Replacement [250518] \| Aetna Medicare [25051801]	$0.35
Cigna Mcr HMO/PPO [250525] \| Medicare Replacement [25052501]	$0.35
Wellcare Health Plan [250516] \| Medicare Replacement [25051601]	$0.35
Freedom Health [250505] \| Freedom Hlth Medicare Replacement [25050501]	$0.35
Humana Gold [250508] \| Pffs Medicare Replacement [25050801]	$0.36
United Health Mcr HMO/PPO [250515] \| UHC Medicare Replacement [2505150	$0.36
Humana [250215] \| Humana PPO [25021501]	$0.66
Cigna [210201] \| Cigna HMO/PPO [21020101]	$3.00
Aetna Better Health [210102] \| Aetna Healthy Kids [21010201]	$4.02
United Healthcare [210402] \| United HMO/PPO [21040201]	$9.22
Wellpoint [250265] \| Wellpoint Florida [25026501]	$9.29
Aetna [210101] \| Aetna PPO [21010105]	$9.43
Lee Health Care Partners [250255] \| Key Benefit Admin [25025501]	$9.58
Avmed Health Plan [250204] \| Avmed Health Plan Contracted [25020401]	$10.05
BCBS [210001] \| Bc FL PPO [21000101]	$10.27
Global Excel Management [250241] \| Global Excel Contracted [25024101]	$21.78
Claritev/Multiplan [250223] \| Claritev Multiplan Network [25022301]	$26.80

$25.00cash price (self-pay)

$33.50list price

$0.33–$33.50range insurers pay

Insurance plan	Negotiated rate
BCBS Medicare [250503] \| BCBS Medicare Replacement [25050301]	$0.33
Avmed Health Plan [250204] \| Avmed Health Plan Contracted [25020401]	$0.33
Align Senior Care [250524] \| Align Medicare Replacement [25052401]	$0.35
Freedom Health [250505] \| Freedom Hlth Medicare Replacement [25050501]	$0.35
Aetna Coventry Mcr Replacement [250518] \| Aetna Medicare [25051801]	$0.35
Cigna Mcr HMO/PPO [250525] \| Medicare Replacement [25052501]	$0.35
Wellcare Health Plan [250516] \| Medicare Replacement [25051601]	$0.35
Humana Gold [250508] \| Pffs Medicare Replacement [25050801]	$0.36
United Health Mcr HMO/PPO [250515] \| UHC Medicare Replacement [2505150	$0.36
United Healthcare [210402] \| United HMO/PPO [21040201]	$0.51
Aetna [210101] \| Aetna PPO [21010105]	$0.59
Humana [250215] \| Humana PPO [25021501]	$0.66
BCBS [210001] \| Bc FL PPO [21000101]	$2.29
Cigna [210201] \| Cigna HMO/PPO [21020101]	$3.00
Lee Health Care Partners [250255] \| Key Benefit Admin [25025501]	$20.10
Aetna Better Health [210102] \| Aetna Healthy Kids [21010201]	$33.50
Wellpoint [250265] \| Wellpoint Florida [25026501]	$33.50

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