Ketorolac injection, 15 mg at Glens Falls Hospital. CPT J1885.
What Glens Falls Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$6.23cash price (self-pay)
$12.45list price
$0.41–$12.45range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS_Empire HealthChoice | Medicare Advantage | $0.41 |
| Aetna Government Program | Medicare Advantage | $0.42 |
| Aetna | Commercial | $0.48 |
| CDPHP | All Products-High Deductible Plan | $0.60 |
| CDPHP | All Products-Labcorp | $0.60 |
| Blue Shield | PPO | $1.85 |
| Blue Shield | Indemnity | $1.85 |
| Blue Shield | HMO_POS | $1.85 |
| Fidelis | Medicare Advantage | $7.47 |
| MVP Commercial | Small_Large Group_CIGNA | $7.59 |
| MVP Commercial | Individual_Student Health Plan | $7.59 |
| BCBS_Empire HealthChoice | Blue Access Small Group | $8.09 |
| BCBS_Empire HealthChoice | Blue Access Large Group | $8.09 |
| BCBS_Empire HealthChoice | Commercial All Products | $8.09 |
| Empire Plan NYSHIP | All Products | $8.09 |
| Hamaspik | Medicare Advantage | $8.09 |
| Hamaspik | Medicaid Managed Care | $8.09 |
| Nascentia Health Options | Medicare Advantage | $8.09 |
| MagnaCare | All Products | $9.34 |
| Emblem | Commercial_All Products | $9.96 |
| Multiplan | PPO | $10.58 |
| BCBS_Empire HealthChoice | Q-HIP PPO | $12.45 |
| BCBS_Empire HealthChoice | Q-HIP CHP | $12.45 |
| BCBS_Empire HealthChoice | Q-HIP HMO_EPO | $12.45 |
| BCBS_Empire HealthChoice | Q-HIP INDEX | $12.45 |
Inpatient
$6.23cash price (self-pay)
$12.45list price
$0.41–$12.45range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS_Empire HealthChoice | Medicare Advantage | $0.41 |
| Aetna Government Program | Medicare Advantage | $0.42 |
| Aetna | Commercial | $0.48 |
| CDPHP | All Products-Labcorp | $0.60 |
| CDPHP | All Products-High Deductible Plan | $0.60 |
| Blue Shield | PPO | $1.85 |
| Blue Shield | HMO_POS | $1.85 |
| Blue Shield | Indemnity | $1.85 |
| Fidelis | Medicare Advantage | $7.47 |
| MVP Commercial | Small_Large Group_CIGNA | $7.59 |
| MVP Commercial | Individual_Student Health Plan | $7.59 |
| BCBS_Empire HealthChoice | Blue Access Small Group | $8.09 |
| BCBS_Empire HealthChoice | Blue Access Large Group | $8.09 |
| BCBS_Empire HealthChoice | Commercial All Products | $8.09 |
| Empire Plan NYSHIP | All Products | $8.09 |
| Hamaspik | Medicare Advantage | $8.09 |
| Hamaspik | Medicaid Managed Care | $8.09 |
| Nascentia Health Options | Medicare Advantage | $8.09 |
| MagnaCare | All Products | $9.34 |
| Emblem | Commercial_All Products | $9.96 |
| Multiplan | PPO | $10.58 |
| BCBS_Empire HealthChoice | Q-HIP PPO | $12.45 |
| BCBS_Empire HealthChoice | Q-HIP CHP | $12.45 |
| BCBS_Empire HealthChoice | Q-HIP INDEX | $12.45 |
| BCBS_Empire HealthChoice | Q-HIP HMO_EPO | $12.45 |
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