Ketorolac injection, 15 mg at Doctors Hospital Of Augusta. CPT J1885.
What Doctors Hospital Of Augusta publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3.62cash price (self-pay)
$212list price
$0.33–$195range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | TRICARE | $0.33 |
| CareSource | MGMCD | $0.40 |
| United | AllPayerAppendix | $0.56 |
| Aetna Better Health of Georgia | MCD | $0.58 |
| Dept of Community Health | COMM | $0.58 |
| Blue Choice | Mgmcd | $0.71 |
| Prime Health | WORKERSCOMP | $1.88 |
| Rockport United Network | WORKERSCOMP | $1.92 |
| Identity MCO | WorkersComp | $1.96 |
| Amerigroup | MCD | $30.12 |
| United | OptionsPPO | $33.09 |
| Peach State | MGMCD | $42.42 |
| Wellcare | MCD | $42.42 |
| Aetna | QualifiedHealthPlan | $45.37 |
| Centurion | PRISN | $58.73 |
| Aetna | HMO | $60.66 |
| Aetna | OpenAccess | $60.66 |
| Aetna | POS | $60.66 |
| Aetna | PPO | $60.66 |
| United | GlobalBenefitPlan | $95.44 |
| Medcost | NEWULTRA | $106 |
| Kaiser Permanente | HMO | $116 |
| Aetna | NAP | $117 |
| MultiPlan | Primary | $127 |
| Medcost | STANDARD | $136 |
| Performax | COMM | $144 |
| First Health | PPO | $159 |
| Employer's Health Network | WCOMP | $170 |
| MultiPlan | Complementary | $191 |
| NovaNet | COMM | $191 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.