Ketorolac injection, 15 mg at Decatur Memorial Hospital. CPT J1885.
What Decatur Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$9.17cash price (self-pay)
$9.45list price
$0.05–$16.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare Advantage | $0.66 |
| Blue Cross Blue Shield | BCBS Medicare Advantage | $0.66 |
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $0.66 |
| Coventry | Coventry Advantra Medicare Advantage | $0.66 |
| Health Alliance | Health Alliance Medicare Advantage | $0.66 |
| Humana | Humana Medicare Advantage | $0.66 |
| Medicare | Medicare | $0.66 |
| United HealthCare | United HealthCare Medicare Advantage | $0.66 |
| Veterans Administration | Veterans Administration | $0.66 |
| Tricare/Champus | Tricare/Champus | $0.67 |
| BCBS Phai | BCBS Phai | $2.30 |
| HFN | HFN Workers Compensation | $2.34 |
| Commercial Workers Compensation | Commercial Workers Compensation | $2.36 |
| Molina Medicaid | Molina Medicaid | $2.36 |
| Mennonite Churches | Mennonite Churches | $4.06 |
| Plain Church Medical Group | Plain Church Medical Group | $4.25 |
| Cigna | Cigna PPO | $4.27 |
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $4.35 |
| Illinois Workers Compensation | Illinois Workers Compensation | $5.03 |
| Health Alliance | Health Alliance Public Exchange | $5.50 |
| 6 Degrees Health | 6 Degrees Health | $5.67 |
| HopeTrust | HopeTrust | $5.67 |
| Hst | Hst | $5.67 |
| Coventry | First Health | $5.67 |
| Humana | Humana PPO | $6.14 |
| PHCS Savility | PHCS Savility | $6.14 |
| Health Alliance | Health Alliance | $6.28 |
| Aetna | Aetna PPO | $6.34 |
| PHCS MultiPlan PPO | PHCS MultiPlan PPO | $6.43 |
| Healthlink | Healthlink PPO/HMO | $6.48 |
Inpatient
$9.17cash price (self-pay)
$9.45list price
$4.22–$16.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $4.35 |
| 6 Degrees Health | 6 Degrees Health | $5.67 |
| HopeTrust | HopeTrust | $5.67 |
| Hst | Hst | $5.67 |
| PHCS MultiPlan PPO | PHCS MultiPlan PPO | $6.43 |
| BCBS Phai | BCBS Phai | $9.45 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $9.45 |
| Liability | Liability | $9.45 |
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