Ketorolac injection, 15 mg at Mount Carmel Dublin Hospital. CPT J1885.
What Mount Carmel Dublin Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1.40cash price (self-pay)
$2.42list price
$0.55–$23,164range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Gravie Admin Services | Aetna Asa Meritain | $1.09 |
| Group Pension Administrators | Cofinity | $1.13 |
| Preferred One | Cofinity | $1.13 |
| Acclaim | Cofinity | $1.13 |
| Allied Benefit Systems | Cofinity | $1.13 |
| Coventry | Cofinity | $1.13 |
| American Republic | Cofinity | $1.13 |
| American Family | Cofinity | $1.13 |
| Custom Benefit Administrators | Cofinity | $1.13 |
| Guardian | Cofinity | $1.13 |
| Freedom Life Insurance Company | Cofinity | $1.13 |
| Unicare | Cofinity | $1.13 |
| Magnacare | Cofinity | $1.13 |
| Primary Physician Care | Cofinity | $1.13 |
| Medcost | Cofinity | $1.13 |
| Boon Chapman | Cofinity | $1.13 |
| Administrative Concepts | Cofinity | $1.13 |
| Mutual Health Services | Cofinity | $1.13 |
| Nova | Cofinity | $1.13 |
| Healthcare Management Admin | Cofinity | $1.13 |
| Siho Insurance Services | Cofinity | $1.13 |
| Humana | Humana One | $1.24 |
| Humana | Choice Care Humana | $1.24 |
| Aetna | Aetna Neighborhood Narrow Network | $1.47 |
| United Healthcare | United Healthcare PPO | $1.52 |
| Geha | United Healthcare PPO | $1.52 |
| United Healthcare | United Healthcare Exchange | $1.66 |
| Health Partners | Cigna | $1.68 |
| Mvp | Cigna | $1.68 |
| Priority Health | Cigna | $1.68 |
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