Ketorolac injection, 15 mg at Evans Memorial Hospital. CPT J1885.
What Evans Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
—cash price (self-pay)
$65.00list price
$0.32–$55.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource Medicaid | HMO | $0.32 |
| Peach State Medicaid | HMO | $0.35 |
| Amerigroup Medicaid | HMO | $10.24 |
| Cigna | PPO | $39.00 |
| United Healthcare | PPO | $42.25 |
| Aetna Commercial | PPO | $55.25 |
Inpatient
—cash price (self-pay)
$65.00list price
$42.25–$44.66range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | PPO | $42.25 |
| Cigna | PPO | $44.66 |
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