Ketorolac injection, 15 mg at Chilton Medical Center. CPT J1885.
What Chilton Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$0.40cash price (self-pay)
$20.23list price
$0.35–$20.23range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aarp Medicare Comp [5039] | Cmc United Medicare | $0.35 |
| Aetna Ahs Employee [5306] | Cmc Aetna Ahs Employee | $0.35 |
| Aetna Assure Premier Plus [5422] | Cmc Aetna Medicare | $0.35 |
| Aetna Assure Premier Plus Ip Splits [5466] | Cmc Aetna Medicare | $0.35 |
| Aetna Mcare Supplemental [5041] | Cmc Aetna Medicare | $0.35 |
| Aetna Medicare [5003] | Cmc Aetna Nnj Prime | $0.35 |
| Aetna Medicare [5003] | Cmc Aetna Medicare | $0.35 |
| Aetna Medicare Ip Splits [5470] | Cmc Aetna Medicare | $0.35 |
| Ambetter [5432] | Cmc Ambetter Wellcare Of Nj | $0.35 |
| Amerihealth Administrators Supplemental [5512] | Cmc Amerihealth Medic | $0.35 |
| Amerihealth Caritas Vip Care [5313] | Cmc Amerihealth Caritas | $0.35 |
| Amerihealth Caritas Vip Care Ip Splits [5460] | Cmc Amerihealth Carita | $0.35 |
| Amerihealth Medigap [5049] | Cmc Amerihealth Medicare | $0.35 |
| Anthem Bcbsny Medicare [5312] | Cmc Horizon Braven | $0.35 |
| Anthem Bcbsny Medicare Ip Splits [5476] | Cmc Horizon Braven | $0.35 |
| Anthem Medicare Pffs [5052] | Cmc Horizon Braven | $0.35 |
| Anthem Medicare Pffs Ip Splits [5474] | Cmc Horizon Braven | $0.35 |
| Champva [5354] | Cmc Tricare Contract | $0.35 |
| Cigna Medicare Ip Splits [5478] | Cmc Cigna Medicare | $0.35 |
| Cigna Totalcare (HMO D-Snp) [5419] | Cmc Cigna Medicare | $0.35 |
| Cigna Totalcare (HMO D-Snp) Ip Splits [5465] | Cmc Cigna Medicare | $0.35 |
| Claimdoc [5434] | Cmc Claimdoc Plan | $0.35 |
| Claim Watcher/Homestead [5488] | Cmc Claim Watcher Tier 1 | $0.35 |
| Cosmetic Surgery/Lap Band/Gastric Bypass [5289] | Cmc Self Pay | $0.35 |
| Fairos [5491] | Cmc Fairos | $0.35 |
| Healthspring Medicare Advantage [5440] | Cmc Cigna Medicare | $0.35 |
| Aetna Centrastate Employee [5425] | Cmc Aetna Htc | $0.48 |
| Aetna [5002] | Cmc Aetna Htc | $0.48 |
| 1199 Seiu Benefit And Pension [5037] | Cmc Aetna | $0.49 |
| Aetna Behavioral Health [5321] | Cmc Aetna | $0.49 |
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