Ketorolac injection, 15 mg at Pomerene Hospital. CPT J1885.
What Pomerene Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$12.00cash price (self-pay)
$15.00list price
$0.29–$13.95range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B OH J15 | Default | $0.60 |
| AultCare MA | Default | $0.66 |
| Blue Cross Blue Shield of OH Anthem MCR Adv | Default | $0.66 |
| Humana Advantage Care Plans Med Advantage | Default | $0.66 |
| Medical Mutual of Ohio MCR Adv | Default | $0.66 |
| Medicare A OH J15 | Default | $0.66 |
| Molina Healthcare of Ohio MCR Adv | Default | $0.66 |
| SummaCare Health Plan MA | Default | $0.66 |
| VALOR HEALTH PLAN | Default | $0.66 |
| Aetna Medicare Advantage | Default | $0.67 |
| Optum Medical Network (Lifeprint) | Default | $0.67 |
| UHC Group Medicare Advantage | Default | $0.67 |
| Blue Cross Blue Shield of OH Anthem | Default | $12.52 |
| AultCare | Default | $13.05 |
| Aetna | Default | $13.20 |
| Medical Mutual of Ohio | Default | $13.20 |
| United Healthcare | Default | $13.20 |
| Cigna | Default | $13.28 |
| SummaCare Health Plan | Default | $13.95 |
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