Ketorolac injection, 15 mg at fairview hospital. CPT J1885.
What fairview hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$1.05cash price (self-pay)
$6.09list price
$0.31–$23.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $0.31 |
| Anthem | Medicare Advantage | $0.31 |
| Cigna | Medicare Advantage | $0.31 |
| Devoted Health | Medicare Advantage | $0.31 |
| CommuniCare | MEDICARE ADVANTAGE | $0.32 |
| AETNA | Acop | $0.59 |
| Anthem | Hpn | $0.59 |
| MMO | Medicare Advantage HMO | $0.63 |
| OPTUM | Medicare Advantage Transplant | $0.63 |
| MMO | Medicare Advantage PPO | $0.65 |
| Anthem | PPO/HMO | $0.88 |
| Mmo | All Products | $1.34 |
| AETNA | International | $1.71 |
| Cc Ehp | All Products | $2.06 |
| AETNA | Asa_Whirlpool_Peia | $2.17 |
| Aultcare | PPO/HMO | $2.54 |
| Amish Community Aid Plan | ALL PRODUCTS | $2.75 |
| Ohcp | All Products | $2.96 |
| Omas | All Products | $3.04 |
| Mmo | Traditional | $3.17 |
| Mmo | Nasco | $3.17 |
| Ohio Healthy | TRANSPLANT | $3.29 |
| Healthsmart | All Products | $3.35 |
| Anthem | Traditional | $3.40 |
| Gms | All Products | $4.27 |
| Aetna | All Products | $4.57 |
| Consociate Health | ALL PRODUCTS | $4.57 |
| Evernorth (Cigna BH) | All Products Psychiatrist | $4.87 |
| Humana Military | ALL PRODUCTS | $5.18 |
| FrontPath | TRANSPLANT | $5.48 |
Inpatient
$1.05cash price (self-pay)
$6.09list price
$0.36–$23.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cc Ehp | All Products | $2.08 |
| Summacare | Preferred | $2.15 |
| Oscar | All Products | $2.20 |
| Summacare | PREMIER | $2.33 |
| Amish Community Aid Plan | ALL PRODUCTS | $3.04 |
| Anthem | Traditional | $3.51 |
| Medical Benefit Corp | Transplant SMCP | $4.27 |
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