Ketorolac injection, 15 mg at Aurelia Osborn Fox Memorial Hospital. CPT J1885.
What Aurelia Osborn Fox Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$0.54cash price (self-pay)
$2.00list price
$0.28–$9.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $0.61 |
| BCBS | Anthem Medicare Advantage | $0.61 |
| BCBS | Excellus Blue HMO | $0.61 |
| BCBS | Excellus Blue Medicare Advantage | $0.61 |
| BCBS | Excellus Blue PPO | $0.61 |
| BCBS | Excellus Exchange | $0.61 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $0.61 |
| BCBS | Excellus Utica | $0.61 |
| BCBS | Highmark | $0.61 |
| BCBS | Highmark Medicare Advantage | $0.61 |
| Cdphp | Medicare Advantage | $0.61 |
| Emblem | Medicare Advantage | $0.61 |
| Fidelis | Medicare Advantage | $0.61 |
| Fidelis | Medicare Advantage Flex | $0.61 |
| Humana | Medicare Advantage | $0.61 |
| Mvp | Medicare Advantage | $0.61 |
| United Healthcare | Madicare Advantage | $0.61 |
| Cdphp | Essentials | $1.30 |
| Cdphp | Managed Medicaid | $1.30 |
| Emblem | Managed Medicaid | $1.30 |
| Fidelis | Managed Medicaid | $1.30 |
| Mvp | Managed Medicaid | $1.30 |
| Mvp | Managed Medicaid Essential | $1.30 |
| BCBS | Anthem Exchange | $1.86 |
| BCBS | Empire | $1.86 |
| BCBS | Empire Exchange | $1.86 |
| BCBS | Empire Healthchoice | $1.86 |
| BCBS | Empire Managed Medicaid | $1.86 |
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