Ketorolac injection, 15 mg at Melrose-Wakefield Hospital Campus. CPT J1885.
What Melrose-Wakefield Hospital Campus publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1.61cash price (self-pay)
$3.00list price
$0.32–$531range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Of MA [100274] | Hb Xr Bcbsma PPO Ppa Mwh | $0.66 |
| Blue Cross Of MA [100274] | Hb Xr Bcbsma HMO Mwh | $0.66 |
| Blue Benefits Administrators [100267] | Hb Xr Bcbsma PPO Ppa Mwh | $0.66 |
| Blue Cross Of Ri [100266] | Hb Xr Bcbsma PPO Ppa Mwh | $0.66 |
| Blue Cross Of Nh [100265] | Hb Xr Bcbsma PPO Ppa Mwh | $0.66 |
| American Postal Workers [100089] | Hb Xr Non-Contracted 35% Of Billed | $1.05 |
| Allied National Global Care [100107] | Hb Xr Non-Contracted 35% Of Bil | $1.05 |
| Allied Benefit Systems [100015] | Hb Xr Non-Contracted 35% Of Billed C | $1.05 |
| Assurant [100020] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $1.05 |
| Amerihealth Caritas Nh [350007] | Hb Xr Non-Contracted 35% Of Billed C | $1.05 |
| Care One [950007] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $1.05 |
| Generic Commercial [109999] | Hb Xr Non-Contracted 35% Of Billed Charg | $1.05 |
| Benemax [100276] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $1.05 |
| Coresource [100285] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $1.05 |
| Coventry [100010] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $1.05 |
| Avmed Health Plan [100247] | Hb Xr Non-Contracted 35% Of Billed Charge | $1.05 |
| Compsych [100027] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $1.05 |
| Carecentrix Alternate [100257] | Hb Xr Non-Contracted 35% Of Billed Ch | $1.05 |
| D'Youville Senior Care [950003] | Hb Xr Non-Contracted 35% Of Billed C | $1.05 |
| Lowell Comm Health Center [950009] | Hb Xr Non-Contracted 35% Of Bille | $1.05 |
| Employee Benefit Management [100033] | Hb Xr Non-Contracted 35% Of Bil | $1.05 |
| Ibew Local 103 [100272] | Hb Xr Non-Contracted 35% Of Billed Charges M | $1.05 |
| Geha [100039] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $1.05 |
| Group And Pension Administrators [100043] | Hb Xr Non-Contracted 35% O | $1.05 |
| Mutual Of Omaha [100074] | Hb Xr Non-Contracted 35% Of Billed Charges | $1.05 |
| Tall Tree Administrators [100271] | Hb Xr Non-Contracted 35% Of Billed | $1.05 |
| Plymouth County [500019] | Hb Xr Non-Contracted 35% Of Billed Charges | $1.05 |
| Coverage Discovery [100306] | Hb Xr Non-Contracted 35% Of Billed Charg | $1.05 |
| Spectera [100291] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $1.05 |
| National Elevator Ind Hlth Benefits [100273] | Hb Xr Non-Contracted 35 | $1.05 |
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