Ketorolac injection, 15 mg at Diley Ridge Medical Center. CPT J1885.
What Diley Ridge Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$6.73cash price (self-pay)
$18.05list price
$4.65–$632range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Asa Meritain | $8.10 |
| Meritain | Aetna Asa Meritain | $8.10 |
| Gravie Admin Services | Aetna Asa Meritain | $8.10 |
| Valenz | Cofinity | $8.43 |
| Luminare Health | Cofinity | $8.43 |
| Christian Brothers Holy Cross | Cofinity | $8.43 |
| Automated Benefit Services | Cofinity | $8.43 |
| Health America | Cofinity | $8.43 |
| Allied Benefit Systems | Cofinity | $8.43 |
| Secureone Preferred United Plans | Cofinity | $8.43 |
| Cam Administrative Services | Cofinity | $8.43 |
| American Family | Cofinity | $8.43 |
| Group Marketing Services | Cofinity | $8.43 |
| Administrative Concepts | Cofinity | $8.43 |
| Insight | Cofinity | $8.43 |
| Key Benefit Administrator | Cofinity | $8.43 |
| Us Health And Life | Cofinity | $8.43 |
| Forest County Potawatomi | Cofinity | $8.43 |
| Coventry | Cofinity | $8.43 |
| Liberty Union Life Assurance Co | Cofinity | $8.43 |
| Lucent Health | Cofinity | $8.43 |
| Medcost | Cofinity | $8.43 |
| Group Pension Administrators | Cofinity | $8.43 |
| American Republic | Cofinity | $8.43 |
| Comprehensive Benefits | Cofinity | $8.43 |
| Custom Benefit Administrators | Cofinity | $8.43 |
| Jp Farley Corporation | Cofinity | $8.43 |
| Nova | Cofinity | $8.43 |
| Employee Benefit Management | Cofinity | $8.43 |
| Mutual Health Services | Cofinity | $8.43 |
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