Ketorolac injection, 15 mg at Adena Pike Medical Center. CPT J1885.
What Adena Pike 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–$100range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Pathway | HMO/PPO | $0.64 |
| Anthem Ohio Exchange | HMO | $0.64 |
| Anthem | Traditional | $0.64 |
| Anthem Ohio Exchange | PPO | $0.64 |
| Care Source Just4Me | Commercial | $0.68 |
| Molina Marketplace | Commercial | $0.68 |
| Aetna (Cofinity/Meritain) | Commercial | $1.53 |
| First Health | Commercial | $1.53 |
| Aetna | Medicare Advantage | $9.72 |
| Buckeye Community Health Plan | Medicare Advantage | $9.72 |
| Medical Mutual of Ohio | Medicare Advantage | $9.72 |
| Medigold | Medicare Advantage | $9.72 |
| Humana | Medicare Advantage | $9.72 |
| Molina | Medicare Advantage | $9.72 |
| Care Source | Medicare Advantage | $9.91 |
| Anthem | Medicare Advantage | $12.56 |
| Gateway Health | Commercial | $13.37 |
| Sidecar Health | Commercial | $26.73 |
| Ohio PPO Connect | Commercial | $28.35 |
| The Health Plan | Commercial | $28.35 |
| Medical Mutual of Ohio | Managed Care | $29.07 |
| Medical Mutual of Ohio SuperMed | Commercial | $29.07 |
| Great West Health Care/Cigna | Commercial | $29.32 |
| Ohio Health Choice | Commercial | $32.24 |
| United Healthcare | All Plans | $33.94 |
| Integrated Health Plan | Commercial | $38.07 |
| Multiplan/Private Healthcare Systems | Commercial | $38.48 |
| HealthSmart | Emerald Commercial Products | $38.48 |
| Three Rivers Network | Commercial | $38.48 |
Inpatient
$5.25cash price (self-pay)
$40.50list price
$6.65–$100range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Ohio Exchange | PPO | $25.68 |
| Anthem Ohio Exchange | HMO | $25.68 |
| The Health Plan | Commercial | $28.35 |
| Ohio PPO Connect | Commercial | $28.35 |
| Medical Mutual of Ohio SuperMed | Commercial | $29.07 |
| Medical Mutual of Ohio | Managed Care | $29.07 |
| Great West Health Care/Cigna | Commercial | $29.32 |
| Anthem | Traditional | $30.01 |
| First Health | Commercial | $31.75 |
| Ohio Health Choice | Commercial | $32.24 |
| Aetna (Cofinity/Meritain) | Commercial | $32.97 |
| Anthem Pathway | HMO/PPO | $34.02 |
| Integrated Health Plan | Commercial | $38.07 |
| HealthSmart | Emerald Commercial Products | $38.48 |
| Multiplan/Private Healthcare Systems | Commercial | $38.48 |
| Three Rivers Network | Commercial | $38.48 |
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