Ketorolac injection, 15 mg at Prisma Health Hillcrest Hospital. CPT J1885.
What Prisma Health Hillcrest 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–$50.78range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| All Savers - UHC [2980] | Phu Hb United Healthcare | $0.30 |
| Alternate Medicare Covid [20102] | Phu Hb 100% Of Medicare - Hmh | $0.30 |
| Alternate Medicare [201] | Phu Hb 100% Of Medicare - Hmh | $0.30 |
| Bind-Surest Benefits On Demand-UHC [2972] | Phu Hb United Healthcare | $0.30 |
| Champva [3049] | Phu Hb 100% Of Medicare - Hmh | $0.30 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phu Hb Medicar | $0.30 |
| Deseret Mutual Ins Co [3066] | Phu Hb 100% Of Medicare - Hmh | $0.30 |
| Forethought Medicare Supplement [3075] | Phu Hb 100% Of Medicare - Hmh | $0.30 |
| Generic Skilled Nursing [3196] | Phu Hb 100% Of Medicare - Hmh | $0.30 |
| Golden Rule Insurance Company [2991] | Phu Hb United Healthcare | $0.30 |
| Healthspring/Cigna Medicare Supplement [3051] | Phu Hb 100% Of Medicar | $0.30 |
| Hop Medicare Supplement [3089] | Phu Hb 100% Of Medicare - Hmh | $0.30 |
| Hospice Contracted [1500] | Phu Hb 100% Of Medicare - Hmh | $0.30 |
| Hospice Non Contracted [3190] | Phu Hb 100% Of Medicare - Hmh | $0.30 |
| Medica United Healthcare [2987] | Phu Hb United Healthcare | $0.30 |
| Healthy Conn Prime-First Choice Vip Care [5300] | Phu Hb Select Health | $0.32 |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | Phu Hb 105% Of Medic | $0.32 |
| Healthy Conn Prime-Molina Healthcare [5330] | Phu Hb Molina Dual Eligi | $0.33 |
| Ambetter Exchange-All States Contracted [4121] | Phu Hb Ambetter Hix A | $0.56 |
| Celtic Life Medicare Supplement [3045] | Phu Hb 100% Of Medicaid - Hmh | $0.89 |
| First Choice Benefits Mgmt [3074] | Phu Hb 100% Of Medicaid - Hmh | $0.89 |
| Medicaid Florida [315] | Phu Hb 100% Of Medicaid - Hmh | $0.89 |
| Medicaid Georgia-Amerigroup [3009] | Phu Hb 100% Of Medicaid - Hmh | $0.89 |
| Medicaid Georgia-Caresource [3228] | Phu Hb 100% Of Medicaid - Hmh | $0.89 |
| Medicaid Bluechoice [420] | Phu Hb Bluechoice Medicaid 104% - Hmh | $0.92 |
| Medicaid Molina Healthcare Sc [440] | Phu Hb 103% Of Medicaid - Hmh | $0.92 |
| Medicaid Absolute Total Care [410] | Phu Hb Absolute Total Care Medica | $0.93 |
| Medicaid Humana Healthy Horizons [6110] | Phu Hb 107% Of Medicaid - Hm | $0.95 |
| Cigna [2800] | Phu Hb Cigna | $1.52 |
| Evernorth Behavioral Contracted [2982] | Phu Hb Cigna | $1.52 |
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