Ketorolac injection, 15 mg at CHI Memorial Hospital - Georgia. CPT J1885.
What CHI Memorial Hospital - Georgia publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$16.63cash price (self-pay)
$58.89list price
$0.45–$56.37range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare|All Plans | $0.45 |
| BCBS - GA | Medicare|BlueCare | $0.46 |
| Cigna | Medicare|Healthspring | $0.47 |
| Amerigroup | Medicare|All Plans | $0.48 |
| Humana | Medicare|HMO | $0.48 |
| Humana | Medicare|All Other Plans | $0.49 |
| Cigna | Commercial|LocalPlus | $0.72 |
| Cigna | Commercial|Open Access | $0.72 |
| BCBS - GA | Commercial|All Other Plans | $0.75 |
| BCBS - GA | Commercial|HMO | $0.75 |
| Centene | Commercial|Ambetter Exchange | $0.77 |
| Peach State | Medicaid|All Plans | $8.84 |
| Amerigroup | Medicaid|All Plans | $11.20 |
| CareSource | Medicaid|All Plans | $11.79 |
| Wellcare | Medicaid|All Plans | $11.79 |
| Employers Health Network | Commercial|All Plans | $26.50 |
| Multiplan | Commercial|All Plans | $35.34 |
| Alliant Health | Commercial|All Plans | $37.70 |
| Humana | Commercial|All Plans | $41.23 |
| Aetna | Commercial|All Other Plans | $47.70 |
| Aetna | Commercial|HMO | $47.70 |
| Aetna | Commercial|PPO | $47.70 |
Inpatient
$16.63cash price (self-pay)
$58.89list price
$33.71–$56.37range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | Commercial|All Plans | $35.34 |
| Alliant Health | Commercial|All Plans | $38.28 |
| Humana | Commercial|All Plans | $41.23 |
| Aetna | Commercial|All Other Plans | $47.70 |
| Aetna | Commercial|HMO | $47.70 |
| Aetna | Commercial|PPO | $47.70 |
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