Ketorolac injection, 15 mg at Sullivan County Community Hospital. CPT J1885.
What Sullivan County Community Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$8.25cash price (self-pay)
$42.00list price
$0.24–$42.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mhs Hlthy In Mcaid | Mhs Hlthy In Mcaid | $0.34 |
| Ambetter Comm-Exch - All Plans | Ambetter Comm-Exch - All Plans | $12.60 |
| BCBS Essential | BCBS Essential | $12.60 |
| Mdwise Mcr Adv | Mdwise Mcr Adv | $12.60 |
| Va Ccn - All Plans | Va Ccn - All Plans | $12.60 |
| BCBS Mcr Adv | BCBS Mcr Adv | $12.60 |
| Humana Mcr Adv | Humana Mcr Adv | $12.73 |
| BCBS Pathway X | BCBS Pathway X | $14.97 |
| BCBS Healthsync | BCBS Healthsync | $14.97 |
| BCBS HMO | BCBS HMO | $18.47 |
| BCBS Pathway | BCBS Pathway | $18.71 |
| BCBS PPO | BCBS PPO | $18.71 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $22.16 |
| Siho - All Plans | Siho - All Plans | $31.50 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $35.70 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $35.70 |
| Mdwise Mcaid - All Other Plans | Mdwise Mcaid - All Other Plans | $42.00 |
| Mhs Mcaid - All Other Plans | Mhs Mcaid - All Other Plans | $42.00 |
| Humana Mcaid | Humana Mcaid | $42.00 |
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