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Ketorolac injection, 15 mg at Adena Fayette Medical Center. CPT J1885.

What Adena Fayette Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.

Outpatient / ER

$5.25cash price (self-pay)
$40.50list price
$0.64–$119range insurers pay
Insurance planNegotiated rate
Anthem | Blue Preferred/Blue Access$0.64
Anthem | Traditional$0.64
Anthem Pathway | HMO/PPO$0.64
Care Source Just4Me | Commercial$0.68
Molina Marketplace | Commercial$0.70
Aetna (Cofinity/Meritain) | Commercial$1.53
First Health | Commercial$1.53
Anthem | Medicare Advantage$10.53
Aetna | Medicare Advantage$16.61
Buckeye Community Health Plan | Medicare Advantage$16.61
Humana/Choice Care | Medicare Advantage$16.61
Medigold | Medicare Advantage$16.61
Molina | Medicare Advantage/Dual$16.61
Medical Mutual of Ohio | Medicare Advantage$16.61
Care Source | Medicare Advantage$16.94
United Healthcare | Commercial$25.23
GEHA UHC Shared Services | Commercial$25.47
United Healthcare River Valley | Commercial$25.47
United Medical Resources OHCP | Commercial$25.47
Great West Health Care/Cigna | Commercial$27.90
The Health Plan | Commercial$28.35
Ohio PPO Connect | Commercial$28.35
Medical Mutual of Ohio | Traditional Commercial$30.57
Medical Mutual of Ohio SuperMed | HMO/PPO/POS/Preferred$30.57
Medical Mutual of Ohio | Commercial$30.57
Ohio Health Choice | Commercial$32.24
Sidecar Health | Commercial$45.77

Inpatient

$5.25cash price (self-pay)
$40.50list price
$4.61–$84.08range insurers pay
Insurance planNegotiated rate
Anthem Pathway | HMO/PPO$17.78
Anthem | Blue Preferred/Blue Access$24.38
United Healthcare | Commercial$25.23
GEHA UHC Shared Services | Commercial$25.47
United Healthcare River Valley | Commercial$25.47
United Medical Resources OHCP | Commercial$25.47
Anthem | Traditional$26.28
Great West Health Care/Cigna | Commercial$27.90
Ohio PPO Connect | Commercial$28.35
The Health Plan | Commercial$28.35
Medical Mutual of Ohio | Commercial$30.57
Medical Mutual of Ohio | Traditional Commercial$30.57
Medical Mutual of Ohio SuperMed | HMO/PPO/POS/Preferred$30.57
First Health | Commercial$31.75
Aetna (Cofinity/Meritain) | Commercial$32.08
Ohio Health Choice | Commercial$32.24
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All common services at Adena Fayette Medical Center