Ketorolac injection, 15 mg at Adams Memorial Hospital. CPT J1885.
What Adams Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 14, 2026.
Outpatient / ER
$4.21cash price (self-pay)
$8.00list price
$0.24–$34.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $1.24 |
| Aetna - All Other Plans | Aetna - All Other Plans | $2.46 |
| Humana Choicecare Mcr PPO | Humana Choicecare Mcr PPO | $2.77 |
| UHC Mcr Adv | UHC Mcr Adv | $2.83 |
| Tricare - All Plans | Tricare - All Plans | $3.24 |
| Mhs Hlthy In | Mhs Hlthy In | $3.39 |
| Paramount Mcare | Paramount Mcare | $3.39 |
| Anthem Hlthy In | Anthem Hlthy In | $3.39 |
| Buckeye Mcare - All Other Plans | Buckeye Mcare - All Other Plans | $3.39 |
| Caresource Oh Marketplace | Caresource Oh Marketplace | $3.60 |
| Mhs Comm - All Other Plans | Mhs Comm - All Other Plans | $3.73 |
| Va Ccn - All Plans | Va Ccn - All Plans | $3.76 |
| Mdwise Mcr Adv | Mdwise Mcr Adv | $3.76 |
| Valor Health Plan - All Plans | Valor Health Plan - All Plans | $3.88 |
| Gpa - All Plans | Gpa - All Plans | $4.40 |
| Php Freedom/Options - All Other Plans | Php Freedom/Options - All Othe | $4.46 |
| First Health - All Plans | First Health - All Plans | $4.96 |
| Prov Ntwrk Of America - All Plans | Prov Ntwrk Of America - All Plans | $5.12 |
| Php Hp | Php Hp | $5.20 |
| Encore PPO - All Plans | Encore PPO - All Plans | $5.27 |
| Cigna - All Plans | Cigna - All Plans | $5.40 |
| Mccp - All Plans | Mccp - All Plans | $5.43 |
| Humana Choicecare - All Other Plans | Humana Choicecare - All Other Pl | $5.49 |
| Iu Health Mcr | Iu Health Mcr | $5.56 |
| Paramount Comm - All Other Plans | Paramount Comm - All Other Plans | $5.62 |
| Siho - All Plans | Siho - All Plans | $5.63 |
| Iu Health Comm - All Other Plans | Iu Health Comm - All Other Plans | $5.66 |
| Buckeye Mcaid | Buckeye Mcaid | $5.87 |
| Humana Choicecare Mcaid | Humana Choicecare Mcaid | $5.87 |
| Amerihealth Caritas Medicaid - All Plans | Amerihealth Caritas Medicai | $5.87 |
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