Ketorolac injection, 15 mg at Jacksonville Memorial Hospital. CPT J1885.
What Jacksonville 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 |
|---|---|
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $1.29 |
| Coventry | Coventry Advantra Medicare Advantage HMO | $1.38 |
| Health Alliance | Health Alliance Medicare Advantage | $1.38 |
| Humana | Humana/ChoiceCare Medicare Advantage PPO/HMO | $1.38 |
| Medicare | Medicare | $1.38 |
| Tricare | Tricare | $1.44 |
| United HealthCare | United HealthCare Medicare Advantage | $1.45 |
| WellCare Medicare Advantage PPO | WellCare Medicare Advantage PPO | $1.49 |
| UHC Va Ccn | UHC Va Ccn | $1.51 |
| Commercial Workers Compensation | Commercial Workers Compensation | $2.36 |
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $4.35 |
| Illinois Workers Compensation | Illinois Workers Compensation | $5.03 |
| 6 Degrees Health | 6 Degrees Health | $5.67 |
| Hope Trust | Hope Trust | $5.67 |
| Hst | Hst | $5.67 |
| Health Alliance | Health Alliance Fully Insured/Self Funded/ACA | $6.43 |
| Cigna | Cigna | $6.55 |
| United Healthcare | United Healthcare PPO | $6.80 |
| Current Health Network | Current Health Network | $7.09 |
| Aetna | Aetna PPO | $7.34 |
| Healthlink | Healthlink HMO | $8.03 |
| Humana/ChoiceCare | Humana/ChoiceCare | $8.06 |
| PHCS/Multiplan | PHCS/Multiplan PPO | $8.50 |
| Hfn | Hfn PPO | $8.98 |
| HFN | HFN Workers Compensation | $8.98 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $9.45 |
| Liability | Liability | $9.45 |
| Medicaid | Illinois Medicaid | $9.45 |
| Molina HealthCare | Molina Medicaid | $9.45 |
| Corvel/CorCare | Corvel/CorCare | $15.23 |
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 |
| Current Health Network | Current Health Network | $5.20 |
| 6 Degrees Health | 6 Degrees Health | $5.67 |
| Hope Trust | Hope Trust | $5.67 |
| Hst | Hst | $5.67 |
| Cigna | Cigna | $6.55 |
| Aetna | Aetna PPO | $6.61 |
| Humana/ChoiceCare | Humana/ChoiceCare | $8.06 |
| Hfn | Hfn PPO | $8.98 |
| HFN | HFN Workers Compensation | $8.98 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $9.45 |
| Liability | Liability | $9.45 |
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