Ketorolac injection, 15 mg at Samaritan Medical Center. CPT J1885.
What Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated February 2, 2026.
Outpatient / ER
$9.56cash price (self-pay)
$20.85list price
$0.37–$21.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital District Physician's Health Plan, Inc (CDPHP) | Medicare Advan | $0.37 |
| Excellus | Medicare Advantage | $0.37 |
| Fidelis | Medicare Advantage/Managed Long Term Care | $0.37 |
| Wellcare | Medicare Advantage | $0.37 |
| Aetna | Medicare Advantage | $0.38 |
| United Healthcare | Commercial | $0.38 |
| United Healthcare | Medicare Advantage | $0.38 |
| Fidelis | Health Benefit Exchange | $0.43 |
| Capital District Physician's Health Plan, Inc (CDPHP) | Commercial | $0.56 |
| Excellus | Commercial | $1.70 |
| MVP | Individual Commercial (HMO, EPO/PPO) Plans | $13.55 |
| MVP | Small/Large Group Commercial (HMO, EPO/PPO, ASO) Plans | $13.55 |
| MVP | Student Health Plans | $13.55 |
| UMR | Commercial | $14.18 |
| GHI Emblem | Commercial | $17.30 |
| Aetna | Commercial | $17.72 |
Inpatient
$9.56cash price (self-pay)
$20.85list price
$7.65–$20.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital District Physician's Health Plan, Inc (CDPHP) | Commercial | $16.68 |
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