Ketorolac injection, 15 mg at CaroMont Regional Medical Center - Mount Holly, Emergency Department. CPT J1885.
What CaroMont Regional Medical Center - Mount Holly, Emergency Department publishes for this service, straight from its standard-charges file, last updated May 11, 2026.
Outpatient / ER
$57.50cash price (self-pay)
$65.60list price
$0.34–$110range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue | Medicare Advantage | $0.34 |
| United HealthCare | Medicare Advantage | $0.34 |
| United Healthcare Behavioral Health | Medicare Advantage | $0.34 |
| Aetna | Medicare Advantage | $0.35 |
| HealthTeam | Medicare Advantage | $0.36 |
| Devoted Health | Medicare Advantage | $0.36 |
| Humana ChoiceCare | Medicare Advantage | $0.36 |
| Longevity Health | Medicare Advantage | $0.36 |
| Molina | Medicare Advantage | $0.36 |
| United HealthCare | Commercial | $0.58 |
| Surgery Plus | Commercial | $0.60 |
| Cigna | Individual Family Plan | $0.63 |
| Cigna | PPO | $0.71 |
| Carolina Caring | Commercial | $0.85 |
| Corporate Benefits Service | Commercial | $0.92 |
| Blue Cross Blue | Medicaid Managed Care | $9.87 |
| Carolina Complete Health | Medicaid Managed Care | $9.87 |
| Partners Behavioral Health | Medicaid | $9.87 |
| Amerihealth Caritas | Medicaid Managed Care | $10.07 |
| Alliance Behavioral Health | Medicaid | $10.07 |
| Carolina Complete Health Tailored Plans | Medicaid Managed Care | $10.07 |
| United HealthCare | Medicaid Managed Care | $10.07 |
| Vaya Behavioral Health | Medicaid | $10.07 |
| Wellcare | Medicaid Managed Care | $10.07 |
| Absolute Total Care | Medicaid Managed Care | $18.43 |
| Molina | Medicaid Managed Care | $18.43 |
| Gaston County Jail | Other | $19.75 |
| Blue Cross Blue Value Individual | Commercial | $26.93 |
| Blue Cross | HMO PPO | $29.34 |
| Aetna | NC Preferred | $32.47 |
Inpatient
$57.50cash price (self-pay)
$65.60list price
—range insurers pay
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All common services at CaroMont Regional Medical Center - Mount Holly, Emergency Department