Ketorolac injection, 15 mg at Henry Ford Wyandotte Hospital:. CPT J1885.
What Henry Ford Wyandotte Hospital: publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
$0.46cash price (self-pay)
$9.71list price
$0.17–$24.59range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | Medicaid HMO | $0.17 |
| HAP | HAP Caresource Medicaid | $0.17 |
| McLaren | Medicaid HMO | $0.17 |
| Meridian | Medicaid HMO | $0.17 |
| Priority Health | Medicaid HMO | $0.17 |
| ScriptGuideRX | All Products | $0.17 |
| Molina | Medicaid HMO | $0.19 |
| Humana Military | Tricare | $0.28 |
| Pace SE MI | Medicare Advantage | $0.31 |
| Blue Cross | BCN Advantage | $0.32 |
| HAP | Medicare Advantage | $0.32 |
| HAP | HAP Dual Products | $0.32 |
| McLaren | Medicare Advantage | $0.32 |
| Molina | Dual MI Coordinated Health | $0.32 |
| Priority Health | Medicare Advantage | $0.32 |
| Trinity Health Plan | Medicare Advantage | $0.32 |
| United Healthcare | VACCN | $0.32 |
| United Healthcare | Erickson Advantage | $0.32 |
| Aetna | Medicare Advantage | $0.33 |
| Amerihealth Caritas | Dual Products | $0.33 |
| Blue Cross | Medicare Plus Blue | $0.33 |
| Humana | Medicare Advantage | $0.33 |
| Priority Health | Dual Premier_HIDE-SNP | $0.33 |
| Aetna | Dual Products | $0.35 |
| HAP | Henry Ford Select -HPN commercial | $0.39 |
| Meridian | Ambetter From Meridian | $0.45 |
| United Healthcare | UHC Commercial | $0.54 |
| Priority Health | Commercial | $0.63 |
| HAP | Self-Funded | $0.69 |
| Bcn | HMO | $0.70 |
Inpatient
$0.46cash price (self-pay)
$9.71list price
$1.17–$24.59range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $5.42 |
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