Ketorolac injection, 15 mg at Champlain Valley Physicians Hospital. CPT J1885.
What Champlain Valley Physicians Hospital publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$5.20cash price (self-pay)
$5.20list price
$0.19–$5.70range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $0.19 |
| Excellus BlueCross BlueShield | Medicare Advantage | $0.35 |
| Humana Military | TRICARE | $0.35 |
| Aetna | Medicare Advantage | $0.37 |
| Capital District Physicians' Health Plan | Medicare Advantage | $0.37 |
| Empire BlueCross BlueShield | Medicare Advantage | $0.37 |
| Fidelis Care | Essential Plans | $0.37 |
| Fidelis Care | Medicare Advantage | $0.37 |
| MVP | Medicare Advantage | $0.37 |
| St. Regis | HMO | $0.37 |
| United Healthcare | Medicare Advantage | $0.37 |
| Veterans Affairs Community Care Network | Veterans Administration | $0.37 |
| Martins Point | TRICARE Prime/Department of Defense | $0.40 |
| Wellpath | FCI Ray Brook | $0.56 |
| Empire BlueCross BlueShield | Individual Network | $0.59 |
| Aetna | Commercial | $0.60 |
| Highmark BlueShield | IND/FEP | $0.61 |
| Highmark BlueShield | PPO/HMO | $0.61 |
| Empire BlueCross BlueShield | Blue Access | $0.78 |
| Empire BlueCross BlueShield | HMO | $0.83 |
| Empire BlueCross BlueShield | IND | $0.83 |
| Empire BlueCross BlueShield | PPO | $0.83 |
| Excellus BlueCross BlueShield | Commercial | $1.76 |
| Capital District Physicians' Health Plan | Commercial | $2.86 |
| United Healthcare | Commercial | $3.97 |
| MVP | Commercial | $4.14 |
| Emblem Health | Commercial | $4.16 |
| Harvard Pilgrim | Commercial | $4.16 |
| MagnaCare | Commercial | $4.16 |
| Coventry | Commercial | $4.68 |
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