Ketorolac injection, 15 mg at Atrium Health Floyd Polk Medical Center. CPT J1885.
What Atrium Health Floyd Polk Medical Center publishes for this service, straight from its standard-charges file, last updated November 19, 2025.
Outpatient / ER
$10.23cash price (self-pay)
$21.00list price
$0.70–$45.09range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Peach State Health Plan | Managed Medicaid | $0.70 |
| Amerigroup | Managed Medicaid | $2.86 |
| CareSource | Managed Medicaid | $2.88 |
| AWC Networks | Commercial | $4.10 |
| Oscar Health Plan | Commercial | $4.10 |
| Aetna | Medicare Advantage | $4.20 |
| Anthem | Medicare Advantage | $4.20 |
| Georgia Assurance | Medicare Advantage | $4.20 |
| Humana | Medicare Advantage | $4.20 |
| CareSource | Medicare Advantage | $4.20 |
| Cigna | Medicare Advantage | $4.20 |
| United Healthcare | Medicare Advantage | $4.20 |
| Wellcare | Medicare Advantage | $4.20 |
| Alliant Health Plans | SoloCare Commercial | $5.25 |
| Clover | Medicare Advantage | $5.46 |
| CareSource | Marketplace Exchange | $6.30 |
| Ambetter | Marketplace Exchange | $6.30 |
| Alliant Health Plans | Simplecare Commercial | $8.40 |
| Anthem | HMO/Pathway X | $10.50 |
| Anthem | PPO | $10.50 |
| Cigna | Floyd County and Rome City Commercial | $11.13 |
| Cigna | Commercial | $12.60 |
| Cigna | Local Plus Commercial | $12.60 |
| Aetna | Commercial | $13.44 |
| Humana ChoiceCare | Commercial | $13.65 |
| Aetna First Health | Commercial | $14.28 |
| Multiplan | Commercial | $14.70 |
| Anthem | Indemnity | $15.68 |
| United Healthcare | Commercial | $15.75 |
| Private Health Care Systems | Commercial | $17.85 |
Inpatient
$10.23cash price (self-pay)
$21.00list price
$7.16–$45.09range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar Health Plan | Commercial | $7.35 |
| Alliant Health Plans | Simplecare Commercial | $8.40 |
| Cigna | Floyd County and Rome City Commercial | $11.13 |
| Cigna | Commercial | $12.60 |
| Cigna | Local Plus Commercial | $12.60 |
| Multiplan | Commercial | $14.70 |
| Anthem | Indemnity | $15.68 |
| Beech Street | Commercial | $18.90 |
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All common services at Atrium Health Floyd Polk Medical Center