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Ketorolac injection, 15 mg at Rock County Hospital. CPT J1885.

What Rock County Hospital publishes for this service, straight from its standard-charges file.

Outpatient / ER

$38.00cash price (self-pay)
$40.00list price
$1.00–$39.00range insurers pay
Insurance planNegotiated rate
Midlands Choice | PPO$1.00
Oscar | HMO$1.00
Blue Cross Blue Shield of Nebraska | Medicare Advantage$14.00
Molina | Commercial$25.00
Molina | Medicare Advantage$25.00
Medica | Commercial$28.00
United Healthcare | Commercial$35.00
Nebraska Total Care | Commercial$36.00
Blue Cross Blue Shield of Nebraska | PPO$38.00
Coventry Health Care | Commercial$38.00
First Health | Commercial$38.00
Integrated Health Plan | PPO$38.00
Interplan Health Group | Commercial$38.00
Mutually Preferred | Commercial$38.00
MultiPlan | PPO$39.00
PPO Next | PPO$39.00
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All common services at Rock County Hospital