Ketorolac injection, 15 mg at Franklin Memorial Hospital. CPT J1885.
What Franklin Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$4.26cash price (self-pay)
$27.07list price
$0.49–$46.89range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $0.50 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $0.74 |
| Aetna | Medicare Advantage | $1.28 |
| Anthem | Medicare Advantage | $1.28 |
| United Healthcare | Medicare Advantage | $1.28 |
| Wellcare | Medicare Advantage | $1.32 |
| Aetna | HMO/PPO | $3.17 |
| Harvard Pilgrim Healthcare | Maine's Choice | $3.23 |
| Cigna | Commercial | $3.57 |
| Harvard Pilgrim Healthcare | Commercial | $3.59 |
| Community Health Options | Commercial | $3.71 |
| United Healthcare | Commercial | $24.13 |
| Multiplan | Commercial | $25.45 |
Inpatient
$4.26cash price (self-pay)
$27.07list price
$3.23–$46.89range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $20.51 |
| Aetna | HMO/PPO | $20.64 |
| Cigna | Commercial | $22.66 |
| Harvard Pilgrim Healthcare | Commercial | $22.80 |
| Community Health Options | Commercial | $23.60 |
| United Healthcare | Commercial | $24.13 |
| Multiplan | Commercial | $25.45 |
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