Ketorolac injection, 15 mg at Memorial Hospital and Manor. CPT J1885.
What Memorial Hospital and Manor publishes for this service, straight from its standard-charges file, last updated May 1, 2026.
Outpatient / ER
$14.00cash price (self-pay)
$20.00list price
$0.68–$450range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup_plan | Medicaid | $0.68 |
| Medicaid__plan | Medicaid | $0.68 |
| Peach_state_health_plan_plan | Medicaid | $0.68 |
| Caresource_plan | Medicaid | $0.71 |
| Anthem_plan | Commercial | $15.44 |
| Humana_commercial_plan | Commercial | $15.60 |
| Aetna_plan | Commercial | $15.80 |
| Uhc_plan | Commercial | $15.80 |
| Humana_choice_care_plan | Commercial | $16.00 |
| Novanet_plan | Commercial | $16.00 |
| Cigna_plan | Commercial | $16.60 |
| Private_healthcare_systems_plan | Commercial | $17.00 |
| Aetna_medical_rental_plan | Commercial | $18.00 |
| Multiplan_plan | Commercial | $18.00 |
| Corvel_plan | Commercial | $19.00 |
| Tnga_plan | Commercial | $450 |
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