Ketorolac injection, 15 mg at Community Hospital of Bremen. CPT J1885.
What Community Hospital of Bremen publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$29.25cash price (self-pay)
$45.00list price
$13.95–$58.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $13.95 |
| Anthem | Exchange | $13.95 |
| Anthem | Medicare Advantage | $13.95 |
| Anthem | Workers Compensation | $13.95 |
| Caresource | Exchange | $13.95 |
| Humana | Medicare Advantage | $13.95 |
| MHS | Exchange | $13.95 |
| UHC | Medicare Advantage | $13.95 |
| VA Optum | VA | $13.95 |
| Anthem | Pathway Essentials | $18.00 |
| Plain Church | Commercial | $18.00 |
| Immergrun | Commercial | $22.50 |
| Anthem | Commercial PPO | $24.66 |
| Anthem | Commercial Trad | $27.09 |
| Cigna Sagamore | Commercial | $31.28 |
| Cigna Sagamore | PPO | $31.28 |
| CHA | Employer Group 4 | $31.50 |
| Medishare Multiplan | Commercial | $33.75 |
| PHP | Commercial | $33.75 |
| Priority Health | Commercial | $33.75 |
| Aetna | Commercial | $34.02 |
| Allied Benefit | Commercial | $34.02 |
| CHA | Commercial | $34.65 |
| UHC | Commercial | $35.55 |
| Multiplan | Commercial | $36.00 |
| All Savers | Commercial | $36.90 |
| Cigna Prof Benefit | Commercial | $36.90 |
| UMR UHC | Medicare Advantage | $36.90 |
| Caresource | IN Medicaid HIP | $58.50 |
Inpatient
$29.25cash price (self-pay)
$45.00list price
$22.50–$58.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Immergrun | Commercial | $22.50 |
| Anthem | Commercial PPO | $23.93 |
| Anthem | Commercial Trad | $27.10 |
| Cigna Sagamore | Commercial | $31.28 |
| Cigna Sagamore | PPO | $31.28 |
| CHA | Employer Group 4 | $31.50 |
| Medishare Multiplan | Commercial | $33.75 |
| PHP | Commercial | $33.75 |
| Priority Health | Commercial | $33.75 |
| Aetna | Commercial | $34.02 |
| Allied Benefit | Commercial | $34.02 |
| CHA | Commercial | $34.65 |
| Multiplan | Commercial | $36.00 |
| Plain Church | Commercial | $36.00 |
| Cigna Prof Benefit | Commercial | $36.90 |
| Caresource | IN Medicaid HIP | $58.50 |
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