Ketorolac injection, 15 mg at Prisma Health Laurens County Hospital. CPT J1885.
What Prisma Health Laurens County 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 |
|---|---|
| Alternate Medicare Covid [20102] | Phu Hb 100% Of Medicare - Lmh | $0.30 |
| Alternate Medicare [201] | Phu Hb 100% Of Medicare - Lmh | $0.30 |
| Champva [3049] | Phu Hb 100% Of Medicare - Lmh | $0.30 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phu Hb Medicar | $0.30 |
| Deseret Mutual Ins Co [3066] | Phu Hb 100% Of Medicare - Lmh | $0.30 |
| Forethought Medicare Supplement [3075] | Phu Hb 100% Of Medicare - Lmh | $0.30 |
| Generic Skilled Nursing [3196] | Phu Hb 100% Of Medicare - Lmh | $0.30 |
| Healthspring/Cigna Medicare Supplement [3051] | Phu Hb 100% Of Medicar | $0.30 |
| Hop Medicare Supplement [3089] | Phu Hb 100% Of Medicare - Lmh | $0.30 |
| Hospice Contracted [1500] | Phu Hb 100% Of Medicare - Lmh | $0.30 |
| Hospice Non Contracted [3190] | Phu Hb 100% Of Medicare - Lmh | $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 |
| Cigna [2800] | Phu Hb Cigna | $1.52 |
| Evernorth Behavioral Contracted [2982] | Phu Hb Cigna | $1.52 |
| Celtic Life Medicare Supplement [3045] | Phu Hb 100% Of Medicaid - Lmh | $1.55 |
| First Choice Benefits Mgmt [3074] | Phu Hb 100% Of Medicaid - Lmh | $1.55 |
| Medicaid Florida [315] | Phu Hb 100% Of Medicaid - Lmh | $1.55 |
| Medicaid Georgia-Amerigroup [3009] | Phu Hb 100% Of Medicaid - Lmh | $1.55 |
| Medicaid Georgia-Caresource [3228] | Phu Hb 100% Of Medicaid - Lmh | $1.55 |
| Medicaid Molina Healthcare Sc [440] | Phu Hb Molina Medicaid - Lmh | $1.60 |
| Medicaid Bluechoice [420] | Phu Hb Bluechoice Medicaid 104% - Lmh | $1.62 |
| Medicaid Absolute Total Care [410] | Phu Hb Absolute Total Care Medica | $1.63 |
| Medicaid Humana Healthy Horizons [6110] | Phu Hb 107% Of Medicaid - Lm | $1.66 |
| MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.59 |
| BCBS [800] | Phu Hb Upstate Blue Exchange Reedy - Lmh | $8.17 |
| BCBS [800] | Phu Hb Blues Exchange Laurens | $9.76 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Prisma Health Laurens County Hospital