Ketorolac injection, 15 mg at Prisma Health Baptist Parkridge Hospital. CPT J1885.
What Prisma Health Baptist Parkridge Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$22.75cash price (self-pay)
$42.80list price
$0.30–$358range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| All Savers - UHC [2980] | Phm Hb United Healthcare All Payer - Richlan | $0.30 |
| Alternate Medicare Covid [20102] | Phm Hb 100% Of Medicare - Richland | $0.30 |
| Alternate Medicare [201] | Phm Hb 100% Of Medicare - Richland | $0.30 |
| Bind-Surest Benefits On Demand-UHC [2972] | Phm Hb United Healthcare A | $0.30 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phm Hb Medicar | $0.30 |
| Golden Rule Insurance Company [2991] | Phm Hb United Healthcare All Pa | $0.30 |
| Medica United Healthcare [2987] | Phm Hb United Healthcare All Payer - | $0.30 |
| Medicare Healthspring Fka Cigna [250] | Phm Hb 100% Of Medicare - Ric | $0.30 |
| Healthy Conn Prime-First Choice Vip Care [5300] | Phm Hb 105% Of Medic | $0.32 |
| Healthy Conn Prime-Molina Healthcare [5330] | Phm Hb 105% Of Medicare | $0.32 |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | Phm Hb 105% Of Medic | $0.32 |
| Medicare Healthspring Fka Cigna [250] | Phm Hb 105% Of Medicare - Ric | $0.32 |
| Ambetter Exchange-All States Contracted [4121] | Phm Ambetter By Atc - | $0.56 |
| Medicaid Humana Healthy Horizons [6110] | Phm Hb Humana Medicaid - Ric | $1.12 |
| Medicaid Bluechoice [420] | Phm Hb Bluechoice Medicaid - Richland | $1.19 |
| Medicaid Sc [300] | Phm Hb Sc Medicaid - Richland | $1.21 |
| Medicaid Molina Healthcare Sc [440] | Phm Hb Molina Medicaid - Richlan | $1.23 |
| Medicaid Absolute Total Care [410] | Phm Hb Absolute Total Care Medica | $1.30 |
| Medicaid Select Health Of Sc [400] | Phm Hb Select Health Medicaid - R | $1.33 |
| Cigna [2800] | Phm Hb Cigna - Midlands | $1.52 |
| Evernorth Behavioral Contracted [2982] | Phm Hb Cigna - Midlands | $1.52 |
| MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $6.59 |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $25.68 |
| Aetna [2000] | Phm Hb Aetna Sc Preferred | $27.39 |
| Medcost [2940] | Ph Hb Medcost Benefit Services | $31.67 |
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All common services at Prisma Health Baptist Parkridge Hospital