Ketorolac injection, 15 mg at Mid Coast Hospital. CPT J1885.
What Mid Coast Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$3.55cash price (self-pay)
$4.55list price
$0.34–$8.33range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $0.34 |
| Anthem | Medicare Advantage | $0.34 |
| Humana | Medicare Advantage | $0.34 |
| United Healthcare | Medicare Advantage | $0.34 |
| Wellcare | Medicare Advantage | $0.35 |
| Anthem | HMO/POS/PPO/Pathway Enhanced | $0.43 |
| Aetna | MHACO Government | $0.50 |
| Cigna | OAP | $2.86 |
| Harvard Pilgrim Healthcare | Maines Choice | $3.04 |
| Harvard Pilgrim Healthcare | Commercial | $3.26 |
| Cigna | PPO | $3.28 |
| Aetna | HMO/PPO | $3.42 |
| Community Health Options | Commercial | $3.81 |
| Multiplan | Commercial | $4.28 |
| United Healthcare | Commercial | $4.30 |
Inpatient
$3.55cash price (self-pay)
$4.55list price
$2.51–$8.33range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | OAP | $3.21 |
| Harvard Pilgrim Healthcare | Maines Choice | $3.42 |
| Harvard Pilgrim Healthcare | Commercial | $3.66 |
| Cigna | PPO | $3.68 |
| Aetna | HMO/PPO | $3.84 |
| Community Health Options | Commercial | $4.28 |
| Multiplan | Commercial | $4.28 |
| United Healthcare | Commercial | $4.30 |
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