Ketorolac injection, 15 mg at Seabrook Er. CPT J1885.
What Seabrook Er publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$77.00cash price (self-pay)
$89.50list price
$0.33–$96.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim | ELEVATE | $0.50 |
| Cigna | HMO | $0.54 |
| Cigna | PPO | $0.54 |
| Anthem | BlueChoice | $0.55 |
| Harvard Pilgrim | HMO | $0.57 |
| Anthem | FEP | $0.61 |
| Anthem | HMO | $0.61 |
| Anthem | POS | $0.61 |
| Anthem | PPO | $0.61 |
| Anthem Maine | BlueChoice | $0.62 |
| Anthem Maine | FEP | $0.69 |
| Anthem Maine | HMO | $0.69 |
| Anthem Maine | POS | $0.69 |
| Anthem Maine | PPO | $0.69 |
| Anthem | INDEMNITY | $1.25 |
| Anthem Maine | INDEMNITY | $1.42 |
| AmeriHealth Caritas | MCD | $3.69 |
| Well Sense Health Plan | MCD | $7.32 |
| United | FreedomBenefitPlans | $23.00 |
| Maine Community Health | Individual | $27.99 |
| Maine Community Health | SmallGroup | $27.99 |
| Tufts Health Plan | HMO | $33.65 |
| Tufts Health Plan | PPO | $33.65 |
| Harvard Pilgrim | PPO | $38.42 |
| United | AllPayerAppendix | $41.00 |
| Maine Community Health | LargeGroup | $47.42 |
| Tufts Health Plan | POS | $51.19 |
| Aetna | EPO | $56.66 |
| Aetna | HMO | $56.66 |
| Aetna | POS | $56.66 |
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