Ketorolac injection, 15 mg at Prague Regional Memorial Hospital. CPT J1885.
What Prague Regional Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$5.00cash price (self-pay)
$7.38list price
$0.51–$9.76range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS HMO/Adv PPO | BCBS HMO/Adv PPO | $0.51 |
| BCBS Native Blue | BCBS Native Blue | $0.51 |
| BCBS Blue Pref PPO | BCBS Blue Pref PPO | $0.62 |
| BCBS Blue Choice PPO | BCBS Blue Choice PPO | $0.73 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $0.84 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $3.69 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $4.06 |
| Hch Comm - All Plans | Hch Comm - All Plans | $4.43 |
| Aetna Mcr Adv | Aetna Mcr Adv | $4.50 |
| BCBS Mcare Select | BCBS Mcare Select | $4.50 |
| Humana Mcr Adv | Humana Mcr Adv | $4.50 |
| Va Ccn - All Plans | Va Ccn - All Plans | $4.50 |
| BCBS Mcr Adv | BCBS Mcr Adv | $4.50 |
| UHC Mcr Adv | UHC Mcr Adv | $4.50 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $4.50 |
| Cigna - All Plans | Cigna - All Plans | $5.54 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $5.54 |
| Ambetter Exchange - All Plans | Ambetter Exchange - All Plans | $7.21 |
| Aetna Better Hlth | Aetna Better Hlth | $7.38 |
| Sonnerselect Mcaid - All Plans | Sonnerselect Mcaid - All Plans | $7.38 |
| Humana Mcaid | Humana Mcaid | $7.38 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.