Ketorolac injection, 15 mg at Wayne Medical Center. CPT J1885.
What Wayne Medical Center publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$8.20cash price (self-pay)
$20.00list price
$0.32–$51.30range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $0.32 |
| Humana | Medicare Advantage | $0.32 |
| Medicare | Medicare | $0.32 |
| UnitedHealthcare | Medicare Advantage | $0.32 |
| UnitedHealthcare | Veterans Affairs | $0.32 |
| Wellcare Harmony Health | Medicare Advantage | $0.32 |
| Wellpoint | Medicare Advantage | $0.32 |
| Ambetter | Commercial Exchange | $0.37 |
| American Health Plans | Medicare Advantage | $0.37 |
| Cigna | Medicare Advantage | $0.37 |
| Oscar | Commercial Exchange | $0.37 |
| BCBS of Tennessee | Dual Special Needs | $0.38 |
| BCBS of Tennessee | Medicare Advantage | $0.38 |
| NHC | Medicare Advantage | $0.38 |
| Humana Military | Tricare | $0.75 |
| ClaimDOC | Commercial | $0.76 |
| Partners Direct Health | Commercial | $0.76 |
| UnitedHealthcare | Dual Special Needs | $0.79 |
| UnitedHealthcare | Medicaid | $7.82 |
| BCBS of Tennessee | Commercial Network P | $9.00 |
| BCBS of Tennessee | Commercial Network S | $9.00 |
| UnitedHealthcare | Commercial | $9.80 |
| Wayne County Jail | Commercial | $10.00 |
| Cigna | Commercial | $10.66 |
| Aetna | Whole Health & VHAN | $12.48 |
| Lewis County Jail | Commercial | $15.00 |
| Marshall County Jail | Commercial | $15.00 |
| Aetna | Commercial | $18.00 |
| Humana | Commercial | $18.00 |
Inpatient
$8.20cash price (self-pay)
$20.00list price
$10.00–$57.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wayne County Jail | Commercial | $10.00 |
| Lewis County Jail | Commercial | $15.00 |
| Marshall County Jail | Commercial | $15.00 |
| Aetna | Commercial | $18.00 |
| Aetna | Medicare Advantage | $20.00 |
| Humana | Medicare Advantage | $20.00 |
| Medicare | Medicare | $20.00 |
| Tennessee Carriers, Inc. | Medicaid | $20.00 |
| UnitedHealthcare | Dual Special Needs | $20.00 |
| UnitedHealthcare | Veterans Affairs | $20.00 |
| Wellpoint | Medicaid | $20.00 |
| Wellpoint | Medicare Advantage | $20.00 |
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