Ketorolac injection, 15 mg at Franklin Country Memorial Hospital. CPT J1885.
What Franklin Country Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$9.00cash price (self-pay)
$10.00list price
$1.00–$10.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | PPO | $1.00 |
| United Healthcare | PPO | $8.00 |
| United Healthcare | Commercial | $8.00 |
| United Healthcare | HMO | $8.00 |
| Aetna | Medicare Advantage | $9.00 |
| Aetna | Commercial | $10.00 |
| Blue Cross Blue Shield of Nebraska | PPO | $10.00 |
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