Ketorolac injection, 15 mg at Louis A. Weiss Memorial Hospital. CPT J1885.
What Louis A. Weiss Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 17, 2025.
Outpatient / ER
$0.21cash price (self-pay)
$1.80list price
$0.10–$4.49range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Precision HMO | $0.30 |
| Blue Cross | HMO | $0.32 |
| Cigna | All Commercial Plans | $0.46 |
| NALC | All Commercial Plans | $0.46 |
| Blue Cross | PPO | $0.58 |
| Blue Cross | Blue Advantage MMAI | $0.69 |
| Humana | MMAI | $0.69 |
| Aetna | Medicare Advantage HMO/PPO | $0.71 |
| Ambetter | Marketplace | $0.71 |
| Blue Cross | Medicare Advantage | $0.71 |
| Cigna Healthspring | Medicare Advantage | $0.71 |
| Humana | Medicare Advantage Gold Plan | $0.71 |
| Longevity | Medicare Advantage | $0.71 |
| Wellcare | Medicare Advantage | $0.71 |
| Zing | Medicare Advantage | $0.71 |
| Oscar | Medicare Advantage | $0.73 |
| Aetna | EPO/HMO/POS/PPO/Choice/NAP | $1.02 |
| Aetna Rental Network | All Plans | $1.17 |
Inpatient
$0.21cash price (self-pay)
$1.80list price
$0.40–$4.49range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | EPO/HMO/POS/PPO/Choice/NAP | $1.02 |
| Aetna Rental Network | All Plans | $1.17 |
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