Ketorolac injection, 15 mg at Norton Clark Hospital. CPT J1885.
What Norton Clark Hospital publishes for this service, straight from its standard-charges file, last updated June 3, 2026.
Outpatient / ER
$0.95cash price (self-pay)
$18.72list price
$0.79–$68.88range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MDwise Health Indiana Plan (HIP) | Managed Medicaid | $0.79 |
| Managed Health Services (MHS) Healthy Indiana Plan (HIP) | Managed Med | $0.79 |
| United Healthcare | VACCN | $0.79 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $0.79 |
| CommuniCare Advantage | Medicare Advantage | $0.81 |
| Molina Healthcare of Indiana | Dual Medicare-Medicaid | $0.81 |
| Molina Healthcare of Indiana | Medicare Advantage | $0.81 |
| Aetna | Medicare Advantage | $0.81 |
| Managed Health Services (MHS) | Medicare Advantage | $0.82 |
| Managed Health Services (MHS) | Commercial Exchange | $1.14 |
| Cigna | Commercial | $7.62 |
| United Healthcare | Commercial | $7.62 |
| Anthem Blue Cross Blue Shield | Medicare Select | $8.62 |
| Aetna | Commercial | $8.86 |
| PPOM | Commercial | $16.38 |
Inpatient
$0.95cash price (self-pay)
$18.72list price
$2.89–$68.88range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $8.05 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $8.05 |
| PPOM | Commercial | $16.38 |
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