Ketorolac injection, 15 mg at Prisma Health Blount Memorial Hospital. CPT J1885.
What Prisma Health Blount Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$13.27cash price (self-pay)
$42.80list price
$0.26–$114range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Tn-Tenncare Wellpoint [3233] | Phtn Hb Wellpoint Medicaid - B | $0.26 |
| Humana Medicare Supplement [3091] | Phtn Hb Humana Medicare - Blount | $0.30 |
| Medicare BCBS [210] | Phtn Hb 100% Of Medicare - Blount | $0.30 |
| Medicare Humana [205] | Phtn Hb Humana Medicare - Blount | $0.30 |
| Medicare Wellcare [255] | Phtn Hb 100% Of Medicare - Blount | $0.30 |
| Medicare [200] | Phtn Hb Medicare - Blount | $0.30 |
| Medicare Healthspring Fka Cigna [250] | Phtn Hb Healthspring Medicare | $0.31 |
| Medicare United Healthcare [230] | Phtn Hb UHC Medicare - Blount | $0.31 |
| Medicare Wellpoint [256] | Phtn Hb Wellpoint Medicare - Blount | $0.31 |
| Medicare BCBS [210] | Phtn Hb Bluecare Plus Medicare - Blount | $0.32 |
| All Savers - UHC [2980] | Phtn Hb United Healthcare All Payer - Blount | $0.33 |
| Bind-Surest Benefits On Demand-UHC [2972] | Phtn Hb United Healthcare | $0.33 |
| Golden Rule Insurance Company [2991] | Phtn Hb United Healthcare All P | $0.33 |
| Medicaid Tn-Tenncare UHC Community Plan [3231] | Phtn Hb UHC Community | $0.38 |
| BCBS [800] | Phtn Hb BCBS Of Tenn - Blount | $0.45 |
| Ambetter Exchange-All States Contracted [4121] | Phtn Hb Ambetter Atc | $0.47 |
| Consociate Health Contracted [4835] | Phtn Hb Consociate Care Medicare | $0.67 |
| Fairos/Occunet Contracted [4837] | Phtn Hb Occunet Medicare - Blount | $0.70 |
| MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $6.59 |
| MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $6.59 |
| Cigna [2800] | Phtn Hb Blount County Govt - Blount | $23.54 |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $25.68 |
| Medcost [2940] | Ph Hb Medcost Benefit Services | $31.67 |
| Atlantic Packaging Contracted [4833] | Ph Hb Atlantic Packaging | $32.10 |
| Aps Healthcare System [2981] | Ghs Hb American Psych Services (Aps) | $34.24 |
| Medcost [2940] | Ph Hb Medcost | $35.52 |
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 Blount Memorial Hospital