Ketorolac injection, 15 mg at Methodist Le Bonheur Germantown Hospital. CPT J1885.
What Methodist Le Bonheur Germantown Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$0.62cash price (self-pay)
$4.11list price
$0.30–$19.48range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellcare Medicare [450023] | Hb Medicare Advantage Wellcare/Wellpoint | $0.30 |
| Medicare Priority Health [450072] | Hb Medicare Advantage / Managed CA | $0.30 |
| Generic Medicare Advantage [459999] | Hb Medicare Advantage / Managed | $0.30 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $0.30 |
| Healthy Mississippi - Medicare Advantage HMO [450114] | Hb Medicare Ad | $0.30 |
| Va Ccn UHC [600003] | Hb Va - Tn Contract | $0.30 |
| Humana Medicare Advantage [450013] | Hb Medicare Advantage / Managed C | $0.30 |
| Wellpoint Medicare [450090] | Hb Medicare Advantage Wellcare/Wellpoint | $0.30 |
| United Healthcare Medicare [450021] | Hb Medicare Advantage / Managed | $0.30 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $0.30 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $0.30 |
| Generic Hospice Vbid [10940000101] | Hb Medicare Advantage / Managed C | $0.30 |
| Optum Medicare Advantage [450112] | Hb Medicare Advantage / Managed CA | $0.30 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $0.30 |
| Devoted Health [450111] | Hb Medicare Advantage Devoted - Tn Contract | $0.31 |
| CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-C | $0.61 |
| UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $0.75 |
| UHC Medicaid [350006] | Hb Medicaid Tn - UHC Tenncare (Americhoice) - | $0.75 |
| BCBS MEDICAID REPLACEMENT [350011] | HB Bluecare Adult Contract | $0.76 |
| Alt BCBS MS Commercial [200009] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $0.79 |
| BCBS Ms [200002] | Hb BCBS Tn - Muh, Mnh, Msh, Mob, Mgh | $0.79 |
| BCBS Tn [200003] | Hb BCBS Tn - Muh, Mnh, Msh, Mob, Mgh | $0.79 |
| MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $0.98 |
| MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $0.98 |
| MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Loc | $0.98 |
| Ms - Medicaid [300025] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contract | $0.98 |
| UHC Medicaid [350006] | Hb UHC Ms Can Mlh-Ms-Ob Contract | $0.98 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $0.98 |
| Molina Healthcare [350012] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contrac | $0.98 |
| BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Se | $1.09 |
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All common services at Methodist Le Bonheur Germantown Hospital