Ketorolac injection, 15 mg at Chelsea Hospital. CPT J1885.
What Chelsea Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1.69cash price (self-pay)
$3.00list price
$0.34–$17.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Mi | BCBS Mi Local HMO | $0.72 |
| Wc Sentry | Workers Comp | $0.79 |
| Wc Aig | Workers Comp | $0.79 |
| Wc Pma | Workers Comp | $0.79 |
| Wc Walmart | Workers Comp | $0.79 |
| Wc Travelers | Workers Comp | $0.79 |
| Wc Genex Care For Ohio | Workers Comp | $0.79 |
| Blue Cross - In (Anthem) | BCBS Trad / Trust | $1.11 |
| Blue Shield - NY Highmark Western | BCBS Trad / Trust | $1.11 |
| Blue Cross - IL Alternate | BCBS Trad / Trust | $1.11 |
| Blue Cross - Mi | BCBS Trad / Trust | $1.11 |
| Blue Cross - NY (Anthem) | BCBS Trad / Trust | $1.11 |
| Blue Cross - IL | BCBS Trad / Trust | $1.11 |
| Blue Cross - Wi (Anthem) | BCBS Trad / Trust | $1.11 |
| Blue Cross - Mn | BCBS Trad / Trust | $1.11 |
| Caresource | Hap HMO | $1.59 |
| Group Administrators | Cofinity PPO | $2.00 |
| Preferred One | Cofinity PPO | $2.00 |
| Humana | Cofinity PPO | $2.00 |
| Comprehensive Benefits | Cofinity PPO | $2.00 |
| Custom Benefit Administrators | Cofinity PPO | $2.00 |
| Employee Benefit Management | Cofinity PPO | $2.00 |
| Boon Chapman | Cofinity PPO | $2.00 |
| Medical Mutual | Cofinity PPO | $2.00 |
| Aultcare | Cofinity PPO | $2.00 |
| Unicare | Cofinity PPO | $2.00 |
| Medcost | Cofinity PPO | $2.00 |
| Magnacare | Cofinity PPO | $2.00 |
| The Loomis Company | Cofinity PPO | $2.00 |
| Cigna | Priority Health Cigna PPO | $2.12 |
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