Ketorolac injection, 15 mg at Bronson South Haven Hospital. CPT J1885.
What Bronson South Haven Hospital publishes for this service, straight from its standard-charges file, last updated August 3, 2026.
Outpatient / ER
$5.20cash price (self-pay)
$15.57list price
$0.07–$24.32range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Priority Health | Choice Medicaid | $0.17 |
| BCBS | Complete | $0.18 |
| Meridian | Medicaid | $0.18 |
| PHP | Medicaid | $0.18 |
| Priority Health | Narrow Network | $0.28 |
| PACE | Medicare | $0.31 |
| Aetna | Medicare | $0.33 |
| BCBS | Mappo | $0.33 |
| BCN | Medicare Advantage | $0.33 |
| Health Alliance Plan | Medicare Advantage | $0.33 |
| Pace | Swmi | $0.33 |
| PHP | Medicare Advantage | $0.33 |
| Priority Health | Medicare | $0.33 |
| Railroad Medicare | Medicare | $0.33 |
| Uhccp | Dnsp | $0.33 |
| UHC | Dual Complete DSNP/Medicare Advantage | $0.33 |
| Humana | Choice PPO Medicare | $0.33 |
| Mclaren | Medicaid | $0.33 |
| Mclaren | Medicare | $0.33 |
| Meridian | Complete - MI Health Link - DSNP/Wellcare - Medicare Advant | $0.35 |
| Priority Health | Cigna Priority Health/HMO/PPO/Tiered Network | $0.35 |
| Molina | Medicare/Medicaid | $0.36 |
| PHP | Commercial | $0.36 |
| MI Amish Medical Board | Commercial | $0.38 |
| Allen County Amish Medical Aid | Commercial | $0.41 |
| Amish Plain Church Group | Commercial | $0.41 |
| UHC | Exchange | $0.51 |
| Opus (Opus Packaging Group) | HMA | $11.68 |
| Encore Health Key Benefits | Commercial | $12.46 |
| Nomi Health | Commercial | $12.77 |
Inpatient
$5.20cash price (self-pay)
$15.57list price
$4.88–$24.32range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Opus (Opus Packaging Group) | HMA | $11.68 |
| Encore Health Key Benefits | Commercial | $12.46 |
| Nomi Health | Commercial | $12.77 |
| BCBS | Trust/PPO | $12.79 |
| BCN | Commercial | $12.79 |
| Multiplan/Beech St/PHCS | Commercial | $13.24 |
| UHC | All Payor (Choice/PPO) + Core | $13.71 |
| Aetna | Commercial | $14.02 |
| Mclaren | Commercial | $14.02 |
| Cofinity | Commercial | $14.64 |
| Asr | Asr | $15.11 |
| Healthscope | Commercial | $15.11 |
| Healthscope | Whirlpool | $15.57 |
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