Ketorolac injection, 15 mg at Riddle Memorial Hospital. CPT J1885.
What Riddle Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3.60cash price (self-pay)
$22.00list price
$0.30–$0.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Ibc Advantage Medicare Managed Care - Hmo | $0.30 |
| Humana | Medicare Managed Care Plan | $0.31 |
| Devoted Health | Medicare Managed Care Plan | $0.32 |
| Health Partners/Jefferson Health | Medicare Managed Care Plan | $0.32 |
| Aetna | Advantra Medicare Managed Care Plan | $0.33 |
| Pa Health & Wellness | Dual Eligible Medicare Managed Care Plan | $0.33 |
| Geisinger Health | Medicare Managed Care Plan | $0.34 |
| Unitedhealthcare | Advantage Group Medicare Managed Care Plan | $0.34 |
| Blue Cross | Dvaco Other Commercial Plan | $0.38 |
| Highmark Wholecare | Medicare Managed Care Plan | $0.42 |
| Keystone First | Medicaid Managed Care Plan | $0.50 |
| Blue Cross | Ibc Ppo | $0.90 |
| Blue Cross | Ibc Hmo | $0.90 |
| Blue Cross | Ibc Administrators Ppo | $0.90 |
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