Ketorolac injection, 15 mg at IU Health White Memorial Hospital. CPT J1885.
What IU Health White Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$4.58cash price (self-pay)
$23.38list price
$0.64–$435range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elevance Health | All HMO/POS | $0.64 |
| Elevance Health | All PPO | $0.64 |
| Elevance Health | All Traditional Plans | $0.64 |
| Elevance Health | All IUHP Employee Plans | $0.64 |
| Aetna | HMO - Coventry Plans | $1.63 |
| Aetna | POS - Cox Medical Plans | $1.63 |
| Aetna | PPO - IN Preferred | $1.63 |
| Aetna | PPO/POS | $1.63 |
| SIHO Insurance Services | HMO/POS Plans | $1.87 |
| SIHO Insurance Services | All PPO Plans | $1.87 |
| SIHO Insurance Services | PPO - Union Health | $1.87 |
| Self-Pay | Other - Self-Pay | $7.29 |
| Encore Health Network | PPO | $8.65 |
| Indiana Health Network (IHN) | All Managed Care | $12.17 |
| Suburban Health Organization | PPO - Witham Health Services | $12.27 |
| Suburban Health Organization | PPO - Direct | $12.27 |
| United Healthcare | All Managed Care | $13.45 |
| Aetna | PPO - NAP | $13.56 |
| Aetna | PPO - First Health | $13.56 |
| Deaconess Health System | All Managed Care | $13.56 |
| Community Health Direct | HMO - LaPorte Regional Plans | $13.79 |
| Parkview Health | HMO - Employee Plans | $14.45 |
| Unified Group Services | HMO | $14.50 |
| Cigna | HMO/POS - Arnett Hospital Plans | $14.73 |
| Cigna | HMO | $14.73 |
| Cigna | HMO - Open Access | $14.73 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $14.73 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $14.73 |
| Cigna | PPO | $14.73 |
| Lutheran Health Network | All Managed Care | $16.37 |
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