Ketorolac injection, 15 mg at Annie Penn Hospital. CPT J1885.
What Annie Penn Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$6.76cash price (self-pay)
$17.80list price
$1.07–$34.99range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Carolina Complete Health | Managed Medicaid | $6.30 |
| Health Choice | Managed Medicaid | $6.30 |
| Modivcare | Managed Medicaid | $6.30 |
| Vaya Health | Managed Medicaid | $6.40 |
| Vaya Health | Tailored Plan | $6.40 |
| Vaya Health | Three Way | $6.40 |
| Partners Health | Managed Medicaid | $6.43 |
| Partners Health | Tailored Plan | $6.43 |
| Trillium Health | Managed Medicaid | $6.43 |
| Trillium Health | Tailored Plan | $6.43 |
| Humana | Choicecare | $18.03 |
| Aetna | First Health | $19.23 |
| Beacon Health | Value Options | $22.72 |
| BCBS | Nyship | $23.11 |
| Beach Street | Medicare Advantage | $27.83 |
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