Ketorolac injection, 15 mg at Jefferson Memorial Hospital. CPT J1885.
What Jefferson Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4.13cash price (self-pay)
$37.28list price
$0.30–$74.56range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TN Medicaid Non-Par | TN Medicaid Non-Par | $0.30 |
| United Healthcare | UHC Community Plan | $0.30 |
| BCBS TN | BCBS TN Net S | $0.33 |
| BCBS TN | BCBS TN Net P | $0.47 |
| Cigna | Cigna ALL | $2.03 |
| BlueCare | BCBS TN BlueCare | $2.06 |
| BlueCare | BCBS TN TennCare Select | $2.06 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $7.57 |
| Self Pay | Self Pay | $8.25 |
| UHC | UHC Options PPO | $17.86 |
| UHC | UHC HSA | $18.68 |
| Aetna | Aetna | $23.93 |
| Multiplan Complementary | Multiplan Complementary | $29.45 |
| United Healthcare | UHC APA | $37.28 |
Inpatient
$4.13cash price (self-pay)
$37.28list price
$3.78–$74.56range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $7.57 |
| Multiplan Complementary | Multiplan Complementary | $29.45 |
| United Healthcare | UHC APA | $37.28 |
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