Ketorolac injection, 15 mg at Dundy County Hospital. CPT J1885.
What Dundy County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$5.00cash price (self-pay)
$10.00list price
$3.00–$60.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Commercial | $5.00 |
| United Healthcare | Commercial | $5.00 |
| Medica | Commercial | $6.00 |
| UHC Community Plan | Managed Medicaid | $6.00 |
| BCBS | Medicare Advantage | $7.00 |
| Total Care | Managed Medicaid | $7.00 |
| United Healthcare | Medicare Advantage | $7.00 |
| Wellcare | Medicare Advantage | $7.00 |
| Midlands Choice | Commercial | $8.00 |
| BCBS | Commercial | $10.00 |
| MultiPlan | PPO | $10.00 |
| MultiPlan | PHCS - PPO | $10.00 |
| Aetna | PPO | $15.00 |
| Aetna | HMO | $15.00 |
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