Ketorolac injection, 15 mg at Alice Hyde Medical Center. CPT J1885.
What Alice Hyde Medical Center publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$6.00cash price (self-pay)
$6.00list price
$0.16–$14.67range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $0.16 |
| Fidelis Care | Essential Plans | $0.37 |
| Fidelis Care | Medicare Advantage | $0.37 |
| Excellus BlueCross BlueShield | Commercial | $0.97 |
| Aetna | Medicare Advantage | $1.92 |
| Capital District Physicians' Health Plan | Medicare Advantage | $1.92 |
| ChoiceCare | Medicare Advantage | $1.92 |
| Excellus BlueCross BlueShield | Medicare Advantage | $1.92 |
| Humana Military | TRICARE | $1.92 |
| Martins Point | TRICARE Prime/Department of Defense | $1.92 |
| MVP | Medicare Advantage | $1.92 |
| St. Regis | HMO | $1.92 |
| United Healthcare | Medicare Advantage | $1.92 |
| Veterans Affairs Community Care Network | Veterans Administration | $1.92 |
| ChoiceCare | Commercial | $4.50 |
| MagnaCare | Commercial | $4.80 |
| Aetna | Commercial | $5.16 |
| Highmark BlueShield | IND/FEP/PPO/HMO | $5.38 |
| Capital District Physicians' Health Plan | Commercial | $5.64 |
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