Ketorolac injection, 15 mg at Calais Community Hospital. CPT J1885.
What Calais Community Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$2.00cash price (self-pay)
$44.00list price
$1.00–$57.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicare Advantage | $8.00 |
| United Healthcare | Medicare Advantage | $8.00 |
| Humana | Commercial | $18.00 |
| Martins Point Generation | Commercial | $18.00 |
| Wellcare | HMO | $18.00 |
| Partners Direct Health | Commercial | $26.00 |
| Anthem | Commercial | $36.00 |
| Aetna | Commercial | $38.00 |
| United Healthcare | PPO | $39.00 |
| Cigna | Commercial | $40.00 |
| Harvard Pilgrim | Commercial | $40.00 |
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