Ketorolac injection, 15 mg at CHI Memorial Hospital Hixson. CPT J1885.
What CHI Memorial Hospital Hixson publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$16.63cash price (self-pay)
$58.89list price
$0.47–$48.72range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - ND | Medicare|All Plans | $0.47 |
| Cigna | Medicare|Healthspring | $0.47 |
| Amerigroup | Medicare|All Plans | $0.48 |
| Humana | Medicare|HMO | $0.48 |
| Humana | Medicare|All Other Plans | $0.49 |
| Humana | Medicare|PPO | $0.49 |
| Cigna | Commercial|LocalPlus | $0.72 |
| Cigna | Commercial|Open Access | $0.72 |
| Centene | Commercial|Ambetter Exchange | $0.85 |
| BCBS - TN | Medicaid|BlueCare | $2.83 |
| Peach State | Medicaid|All Plans | $11.79 |
| Employers Health Network | Commercial|All Plans | $26.50 |
| United | Commercial|Non-Options | $29.45 |
| United | Commercial|Options | $29.45 |
| Multiplan | Commercial|All Plans | $35.34 |
| Alliant Health | Commercial|All Plans | $37.70 |
| Aetna | Commercial|Gatekeeper | $41.23 |
| Aetna | Commercial|Non-Gatekeeper | $41.23 |
| Humana | Commercial|All Plans | $41.23 |
Inpatient
$16.63cash price (self-pay)
$58.89list price
$33.71–$59.16range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | Commercial|All Plans | $35.34 |
| Alliant Health | Commercial|All Plans | $38.28 |
| Humana | Commercial|All Plans | $41.23 |
| Aetna | Commercial|Gatekeeper | $50.06 |
| Aetna | Commercial|Non-Gatekeeper | $50.06 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.