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Ketorolac injection, 15 mg at Piedmont Augusta. CPT J1885.

What Piedmont Augusta publishes for this service, straight from its standard-charges file, last updated July 1, 2026.

Outpatient / ER

$4.89cash price (self-pay)
$18.92list price
$0.30–$51.64range insurers pay
Insurance planNegotiated rate
BLUE CROSS [10001] | Blue Cross HMO$0.59
BLUE CROSS [10001] | Blue Cross PPO$0.59
AMERIGROUP MEDICAID [20100] | Amerigroup$0.63
BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway$0.70
ABSOLUTE TOTAL CARE [20109] | Absolute Total Care$0.75
CARESOURCE MEDICAID [20104] | Caresource Medicaid$0.78
PEACH STATE MEDICAID [20101] | Peach State Medicaid$0.78
UNITED HEALTHCARE EXCHANGE [11110] | United Healthcare Exchange$1.28
UHC [10700] | United Healthcare$1.28
CIGNA [10200] | Cigna$1.77
BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South C$3.07
ALLIANT HEALTH PLANS OF GEORGIA [10952] | Alliant$7.00
ALLIANT SOLOCARE [11101] | Alliant Solocare$7.00
MEDCOST [10966] | Medcost$7.54
MULTIPLAN [10600] | Multiplan$8.32
Phcs [10601] | Phcs$8.32
INDUSTRY BUYING GROUP [10840] | Industrial Buying Group$12.30
KAISER [10500] | Kaiser$14.00
FIRST HEALTH [10303] | First Health$16.08
NOVANET [10819] | Novanet$17.03
BLUE CROSS [10001] | Blue Cross South Carolina$18.92
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All common services at Piedmont Augusta