Ketorolac injection, 15 mg at Methodist Hospitals Northlake Campus. CPT J1885.
What Methodist Hospitals Northlake Campus publishes for this service, straight from its standard-charges file, last updated April 16, 2026.
Outpatient / ER
$5.36cash price (self-pay)
$17.48list price
$0.01–$47.72range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | HMO_and_PPO_Contracted_Plans | $0.01 |
| Indiana Medicaid | Traditional | $0.01 |
| MagnaCare | MagnaCare | $0.01 |
| Anthem | Indiana HMO Medicaid | $0.01 |
| Managed Health Services | Indiana HMO Medicaid | $0.01 |
| CareSource | Indiana HMO Medicaid | $0.01 |
| United Healthcare | Indiana HMO Medicaid | $0.01 |
| Humana | Indiana HMO Medicaid | $0.01 |
| Medicare | Medicare | $0.33 |
| United Healthcare | HMO_and_PPO_Contracted_Plans | $0.33 |
| United Healthcare | Navigate and Core payer | $0.33 |
| Anthem | Medicare Advantage | $0.33 |
| Aetna | Medicare Advantage | $0.33 |
| Humana | Medicare Advantage | $0.33 |
| United Heathcare | Medicare Advantage | $0.33 |
| Zing | Medicare Advantage | $0.34 |
| Anthem BCBS | Individual On Exchange | $0.41 |
| Anthem | Pathway Essentials | $0.50 |
| CareSource Maketplace | CareSource | $0.54 |
| Ambetter | Ambetter HealthPlan | $0.66 |
| Cigna | HMO | $6.71 |
| Cigna | PPO | $7.29 |
| Physicians Health Plan of Northern Indiana | PHP | $10.10 |
| Encore | Combined | $10.49 |
| Aetna | FirstHealth | $10.89 |
| Phcs | PPO | $11.89 |
| Siho | PPO | $12.24 |
| Sagamore | PPO | $12.59 |
| Multiplan | PPO | $12.76 |
| Aetna | Coventry | $12.94 |
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