Ketorolac injection, 15 mg at Montefiore Mount Vernon Hospital. CPT J1885.
What Montefiore Mount Vernon Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$0.37–$1.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point Comfort | Indemnity | $0.68 |
| UHC | Medicare | $0.68 |
| VillageCareMAX | Medicare | $0.68 |
| Emblem | Medicare | $0.68 |
| Anthem Healthplus | Medicare | $0.68 |
| Centerlight | Medicare | $0.68 |
| Anthem Healthplus | Child Health Plus | $0.68 |
| Anthem Healthplus | Essential 1, 2, 3, 4 | $0.68 |
| Anthem Healthplus | HARP | $0.68 |
| Anthem Healthplus | Medicaid | $0.68 |
| Wellcare | Medicare | $0.69 |
| Amidacare | Medicaid | $0.71 |
| VNSNY Choice | Medicare | $0.72 |
| Fidelis | Medicare | $0.72 |
| HealthFirst | IB Dual Connection HMO D-SNP | $0.72 |
| MetroPlus | Default Duals | $0.72 |
| MetroPlus | Exchange Products | $0.72 |
| MetroPlus | Medicaid Advantage Plus | $0.72 |
| MetroPlus | Medicare Advantage | $0.72 |
| Centerlight | PACE | $0.72 |
| Fidelis | Child Health Plus | $0.72 |
| Fidelis | Essential Plan - Aliessa | $0.72 |
| Fidelis | Essential Plan - QHP | $0.72 |
| Fidelis | HARP | $0.72 |
| Fidelis | Medicaid | $0.72 |
| HealthFirst | Medicare PPO | $0.72 |
| MetroPlus | Child Health Plus | $0.72 |
| MetroPlus | Essential Plan 1 & 2 | $0.72 |
| MetroPlus | Essential Plan 3 & 4 | $0.72 |
| MetroPlus | Gold Goldcare2 | $0.72 |
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