Ketorolac injection, 15 mg at Frederick Ferris Thompson Hospital. CPT J1885.
What Frederick Ferris Thompson Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$0.20cash price (self-pay)
$1.18list price
$0.30–$0.71range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis Medicare 1311 | Fidelis Medicare 131101 | $0.30 |
| United Healthcare Medicare 1309 | United Healthcare Medicare 130901 | $0.30 |
| Aetna Medicare 1300 | Aetna Medicare 130001 | $0.30 |
| Highmark Blue Cross Blue Shield Medicare 1301 | Highmark BCBS Medicare | $0.30 |
| Humana Medicare 1312 | Humana Medicare 131201 | $0.30 |
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601 | $0.30 |
| Elderplan 1316 | Elderplan 131601 | $0.30 |
| Wellcare Medicare 1310 | Wellcare Medicare 131001 | $0.30 |
| Excellus Blue Cross Blue Shield 2201, Out Area Blue Cross Blue Shield, | $0.33 |
| Mvp Medicare 1307 | Mvp Medicare 130701 | $0.33 |
| Cdphp Medicare 1320 | Cdphp Medicare 132001 | $0.33 |
| Mvp 2900 | Mvp Premier Individual 290002 | $0.55 |
| Mvp 2900 | Mvp Health Care 290001, Mvp Premier Group 290003 | $0.66 |
| Mvp 2900, Cigna 5144 | Mvp Commercial PPO Fully Insured 290006, Cigna | $0.71 |
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