Ketorolac injection, 15 mg at Wayne General Hospital. CPT J1885.
What Wayne General Hospital publishes for this service, straight from its standard-charges file, last updated July 31, 2026.
Outpatient / ER
$2.00cash price (self-pay)
$9.71list price
$0.23–$73.58range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military-All Plans | Humana Military-All Plans | $0.23 |
| Amerigroup Mcare Adv-All Plans | Amerigroup Mcare Adv-All Plans | $0.26 |
| Cigna Mcr Adv | Cigna Mcr Adv | $0.26 |
| Magnolia Mcare Adv | Magnolia Mcare Adv | $0.26 |
| Molina Mcare Adv | Molina Mcare Adv | $0.26 |
| Vantage Health Mcare Adv | Vantage Health Mcare Adv | $0.26 |
| Wellcare Mcare Adv-All Plans | Wellcare Mcare Adv-All Plans | $0.26 |
| Alabama Community Mcaid-All Plans | Alabama Community Mcaid-All Plans | $0.52 |
| Magnolia Medicaid | Magnolia Medicaid | $0.52 |
| Univita Healthcare Mcaid-All Plans | Univita Healthcare Mcaid-All Plan | $0.52 |
| Al Healthcare Adv Mcaid-All Plans | Al Healthcare Adv Mcaid-All Plans | $0.52 |
| Molina Medicaid | Molina Medicaid | $0.52 |
| Molina Chip-All Other Plans | Molina Chip-All Other Plans | $0.57 |
| Cigna-All Other Plans | Cigna-All Other Plans | $2.92 |
| Ml Healthcare-All Plans | Ml Healthcare-All Plans | $3.89 |
| Phcs-All Plans | Phcs-All Plans | $7.29 |
| Mhci/Healthlink Op Only-All Plans | Mhci/Healthlink Op Only-All Plans | $8.26 |
| Ms Health Partners-All Plans | Ms Health Partners-All Plans | $8.26 |
| Ppoplus-All Plans | Ppoplus-All Plans | $8.26 |
| United Providers-All Plans | United Providers-All Plans | $8.74 |
| First Choice-All Other Plans | First Choice-All Other Plans | $8.74 |
| First Health-All Plans | First Health-All Plans | $8.74 |
| Geha PPO-All Plans | Geha PPO-All Plans | $8.74 |
| Healthcare Advantage-All Plans | Healthcare Advantage-All Plans | $8.74 |
| Three Rivers Provider Network-All Plans | Three Rivers Provider Networ | $9.23 |
| Aetna Mcare Adv - All Plans | Aetna Mcare Adv - All Plans | $9.71 |
| Magnolia Comm/Exchange-All Other Plans | Magnolia Comm/Exchange-All Ot | $9.71 |
| Vantage Health-All Other Plans | Vantage Health-All Other Plans | $9.71 |
| First Choice Hie | First Choice Hie | $12.14 |
| BCBS-All Plans | BCBS-All Plans | $18.17 |
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