Ketorolac injection, 15 mg at Fairview Park Hospital. CPT J1885.
What Fairview Park Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$135cash price (self-pay)
$269list price
$0.33–$363range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | TRICARE | $0.33 |
| Laurens County Jail | COMM | $0.39 |
| CareSource | MGMCD | $0.40 |
| United | AllPayerAppendix | $0.56 |
| Aetna Better Health of Georgia | MCD | $0.58 |
| Dept of Community Health | COMM | $0.58 |
| Prime Health | WORKERSCOMP | $1.88 |
| Employer's Health Network | WCOMP | $1.92 |
| Rockport United Network | WORKERSCOMP | $1.92 |
| Identity MCO | WorkersComp | $1.96 |
| Synergy Health Network | WorkersComp | $1.96 |
| Amerigroup | MCD | $36.05 |
| Peach State | MGMCD | $53.80 |
| Wellcare | MCD | $53.80 |
| Memorial Health Plan | EMPLOYEEPLAN | $59.18 |
| United | OptionsPPO | $66.44 |
| Aetna | QualifiedHealthPlan | $69.56 |
| Centurion | PRISN | $74.49 |
| Leavitt Risk Partners | COMM | $80.70 |
| Aetna | HMO | $92.54 |
| Aetna | OpenAccess | $92.54 |
| Aetna | POS | $92.54 |
| Aetna | PPO | $92.54 |
| United | GlobalBenefitPlan | $121 |
| Dodge County Hospital | COMM | $135 |
| Aetna | NAP | $148 |
| American Steel Products | COMM | $229 |
| City of Eastman | COMM | $229 |
| Dodge Co Board of Commissioners | COMM | $229 |
| Graham Brothers Construction | COMM | $229 |
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