Ketorolac injection, 15 mg at lodi hospital. CPT J1885.
What lodi hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$1.05cash price (self-pay)
$6.30list price
$0.33–$23.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicare Advantage | $0.33 |
| OPTUM | Medicare Advantage Transplant | $0.68 |
| OPTUM | All Products VA | $0.68 |
| Oscar | All Products | $1.78 |
| HUMANA | Medicare Advantage HMO | $1.89 |
| MMO | Medicare Advantage HMO & PPO | $1.89 |
| Aetna | Medicare Advantage | $2.02 |
| Php | All Products | $2.02 |
| Phphi | All Products | $2.02 |
| Amish Community Aid Plan | ALL PRODUCTS | $2.84 |
| Aultcare | PPO/HMO | $3.03 |
| Ohcp | All Products | $3.06 |
| Omas | All Products | $3.15 |
| Mmo | Traditional | $3.28 |
| Ohio Healthy | TRANSPLANT | $3.40 |
| OPTUM | All Products Transplant | $3.57 |
| AETNA | Acop | $3.58 |
| Summacare | Preferred | $3.78 |
| Summacare | PREMIER | $3.78 |
| Anthem | Hpn | $3.81 |
| Cigna | All Products | $4.00 |
| Anthem | Traditional | $4.17 |
| Cc Ehp | All Products | $4.23 |
| AETNA | Asa_Whirlpool_Peia | $4.33 |
| AETNA | International | $4.37 |
| Gms | All Products | $4.41 |
| Anthem | PPO/HMO | $4.49 |
| Aetna | All Products | $4.73 |
| Consociate Health | ALL PRODUCTS | $4.73 |
| FrontPath | TRANSPLANT | $5.67 |
Inpatient
$1.05cash price (self-pay)
$6.30list price
$0.46–$23.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $2.27 |
| Amish Community Aid Plan | ALL PRODUCTS | $3.15 |
| Anthem | Hpn | $3.44 |
| Summacare | Preferred | $3.63 |
| Summacare | PREMIER | $3.94 |
| Anthem | PPO/HMO | $4.05 |
| Anthem | Traditional | $4.26 |
| Medical Benefit Corp | Transplant SMCP | $4.41 |
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