Ketorolac injection, 15 mg at Nicholas H Noyes Memorial Hospital. CPT J1885.
What Nicholas H Noyes Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$0.14cash price (self-pay)
$1.84list price
$0.25–$0.72range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601 | $0.25 |
| Humana Medicare 1312 | Humana Medicare 131201 | $0.30 |
| Aetna Medicare 1300 | Aetna Medicare 130001 | $0.30 |
| United Healthcare Medicare 1309 | United Healthcare Medicare 130901 | $0.30 |
| Wellcare Medicare 1310 | Wellcare Medicare 131001 | $0.30 |
| Fidelis Medicare 1311 | Fidelis Medicare 131101 | $0.30 |
| Independent Health Medicare 1305 | Independent Health Medicare 130501 | $0.30 |
| Cdphp Medicare 1320 | Cdphp Medicare 132001 | $0.33 |
| Mvp Medicare 1307 | Mvp Medicare 130701 | $0.42 |
| Empire Plan 5179 | Empire Plan 517901 | $0.48 |
| Excellus Blue Cross Blue Shield 2201, Out Area Blue Cross Blue Shield, | $0.52 |
| United Healthcare 5158 | United Healthcare 515803 | $0.59 |
| Pomco Ins Co 5157 | Pomco Ins Co 515701 | $0.64 |
| Mvp 2900 | Mvp Premier Individual 290002 | $0.68 |
| Mvp 2900 | Mvp Health Care 290001, Mvp Premier Group 290003 | $0.70 |
| Mvp 2900, Cigna 5144 | Mvp Commercial PPO Fully Insured 290006, Cigna | $0.72 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.