Ketorolac injection, 15 mg at Good Samaritan Hospital. CPT J1885.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1.58cash price (self-pay)
$13.68list price
$0.33–$0.98range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $0.34 |
| Buckeye | Advantage Medicare Managed Care Plan | $0.35 |
| Medical Mutual of Ohio | Medicare Managed Care Plan | $0.35 |
| UnitedHealthCare | All Commercial Plans | $0.40 |
| BCBS | Anthem KY Pathway Transition HMO Exchange | $0.41 |
| BCBS | Anthem Pathway X HMO Exchange | $0.41 |
| Oscar | All Commercial Plans | $0.42 |
| BCBS | Anthem OH I and OH II PPO | $0.49 |
| Buckeye | Ambetter Exchange | $0.49 |
| BCBS | Anthem Blue Connection HMO | $0.58 |
| BCBS | Anthem Blue Access PPO | $0.61 |
| Imagine Health | All Commercial Plans | $0.82 |
| Custom Design Benefits | Exclusive Other Commercial Plan | $0.84 |
| Custom Design Benefits | TruCost Other Commercial Plan | $0.88 |
| Aetna | All Commercial Plans | $0.91 |
| MedBen | Tier 1 Other Commercial Plan | $0.93 |
| MedBen | Tier 2 Other Commercial Plan | $0.98 |
Inpatient
$2.85cash price (self-pay)
$6.02list price
—range insurers pay
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