Ketorolac injection, 15 mg at Piedmont Mountainside. CPT J1885.
What Piedmont Mountainside publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$2.46cash price (self-pay)
$18.92list price
$0.30–$16.08range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AMERIGROUP MEDICAID [20100] | Amerigroup | $0.60 |
| PEACH STATE MEDICAID [20101] | Peach State Medicaid | $0.78 |
| CARESOURCE MEDICAID [20104] | Caresource Medicaid | $0.78 |
| UNITED HEALTHCARE EXCHANGE [11110] | United Healthcare Exchange | $1.28 |
| UHC [10700] | United Healthcare | $1.28 |
| CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $1.77 |
| CIGNA [10200] | Cigna | $1.77 |
| BLUE CROSS [10001] | Blue Cross HMO | $8.38 |
| BLUE CROSS [10001] | Blue Cross PPO | $8.81 |
| ALLIANT HEALTH PLANS OF GEORGIA [10952] | Alliant | $12.87 |
| FIRST HEALTH [10303] | First Health | $13.24 |
| NOVANET [10819] | Novanet | $14.19 |
| Phcs [10601] | Phcs | $15.14 |
| BEECHSTREET [10800] | Beechstreet | $15.14 |
| KAISER [10500] | Kaiser | $16.08 |
| MULTIPLAN [10600] | Multiplan | $16.08 |
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