Ketorolac injection, 15 mg at Northern Light Sebasticook Valley Hospital. CPT J1885.
What Northern Light Sebasticook Valley Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$0.56cash price (self-pay)
$3.55list price
$0.29–$11.81range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MCR Advantage | $1.35 |
| Anthem | MCR Advantage | $1.35 |
| Martin's Point | MCR Advantage | $1.35 |
| UHC | MCR Advantage | $1.35 |
| Wellcare | MCR Advantage | $1.35 |
| Anthem | Commercial | $2.31 |
| Anthem | Enhanced Pathways | $2.31 |
| Aetna | Commercial | $2.40 |
| Harvard | Commercial | $2.50 |
| Cigna | Commercial | $2.65 |
| UHC | Commercial | $2.68 |
| CHO | Commercial | $3.55 |
Inpatient
$0.56cash price (self-pay)
$3.55list price
$1.08–$11.81range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $2.31 |
| Anthem | Enhanced Pathways | $2.31 |
| UHC | Commercial | $2.57 |
| Cigna | Commercial | $2.65 |
| Aetna | Commercial | $2.66 |
| CHO | Commercial | $3.55 |
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All common services at Northern Light Sebasticook Valley Hospital