Ketorolac injection, 15 mg at Waldo County General Hospital. CPT J1885.
What Waldo County General Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$109cash price (self-pay)
$109list price
$0.49–$103range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $0.50 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $0.71 |
| Anthem | Medicare Advantage | $22.28 |
| Aetna | Medicare Advantage | $22.78 |
| Humana | Medicare Advantage | $22.78 |
| United Healthcare | Medicare Advantage | $22.78 |
| Wellcare | Medicare Advantage | $23.69 |
| Harvard Pilgrim Healthcare | Maine's Choice | $46.08 |
| Aetna | HMO/PPO | $49.96 |
| Harvard Pilgrim Healthcare | Commercial | $51.17 |
| Cigna | Commercial | $51.94 |
| Community Health Options | Commercial | $52.21 |
| Multiplan | Commercial | $103 |
| United Healthcare | Commercial | $103 |
Inpatient
$109cash price (self-pay)
$109list price
$91.67–$103range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $91.67 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $97.34 |
| Aetna | HMO/PPO | $99.05 |
| Harvard Pilgrim Healthcare | Commercial | $102 |
| Multiplan | Commercial | $103 |
| Community Health Options | Commercial | $103 |
| United Healthcare | Commercial | $103 |
| Cigna | Commercial | $103 |
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