Ketorolac injection, 15 mg at Elkhart General Hospital. CPT J1885.
What Elkhart General Hospital 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
$0.16–$58.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| McLaren (MI | MI Medicaid | $0.16 |
| UHC | MI Medicaid | $0.16 |
| Anthem | Exchange | $0.30 |
| Anthem | Medicare Advantage | $0.30 |
| Humana | Medicare Advantage | $0.30 |
| PACE | Medicare | $0.30 |
| UHC | Medicare Advantage | $0.30 |
| Caresource | Exchange | $0.48 |
| Anthem | Workers Compensation | $0.57 |
| Devoted Healthcare | Medicare Advantage | $9.00 |
| Anthem | HealthSync | $9.42 |
| Anthem | Commercial | $11.08 |
| Aetna | Medicare Advantage | $20.25 |
| CHA | Employer Group 4 | $27.00 |
| Immergrun | Commercial | $27.00 |
| CHA | Employer Group 1 | $28.80 |
| MHS | Exchange | $29.25 |
| PHP | Commercial Select | $29.25 |
| CHA | Employer Group 2 | $29.70 |
| UHC | Commercial | $30.24 |
| Aetna | Commercial | $30.47 |
| Humana | Commercial | $31.50 |
| PHP | Commercial | $31.50 |
| Cigna | OAP | $32.40 |
| Multiplan | Commercial | $32.40 |
| Signature | Commercial | $32.85 |
| Encore | Commercial | $33.30 |
| Cigna Sagamore | PPO | $34.20 |
| CHA | Employer Group 3 | $35.10 |
| Plain Church | Commercial | $36.00 |
Inpatient
$29.25cash price (self-pay)
$45.00list price
$9.00–$58.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Healthcare | Medicare Advantage | $9.00 |
| CHA | Employer Group 1 | $28.80 |
| PHP | Commercial Select | $29.25 |
| CHA | Employer Group 2 | $29.70 |
| Aetna | Commercial | $30.47 |
| Humana | Commercial | $30.90 |
| PHP | Commercial | $31.50 |
| Cigna | OAP | $32.40 |
| Multiplan | Commercial | $32.40 |
| Signature | Commercial | $32.85 |
| Encore | Commercial | $33.30 |
| Cigna Sagamore | PPO | $34.20 |
| CHA | Employer Group 3 | $35.10 |
| Immergrun | Commercial | $36.00 |
| Plain Church | Commercial | $36.00 |
| Caresource | IN Medicaid HIP | $58.50 |
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