Ketorolac injection, 15 mg at WTH Bolivar Hospital. CPT J1885.
What WTH Bolivar Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$1.09cash price (self-pay)
$4.67list price
$0.38–$13.41range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $0.38 |
| River Valley Plan | TennCare | $0.49 |
| United Healthcare | All Payer | $0.50 |
| Celtic Insurance Company | Commercial-Exchange | $0.51 |
| Blue Cross Blue Shield of Tennessee | Network P | $0.77 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $0.77 |
| Veterans Affairs | Community Care Network | $1.12 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $1.15 |
| Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $1.15 |
| Cigna-HealthSpring | Medicare Advantage | $1.16 |
| Aetna | AWH/Vanderbilt Health Affiliated Network (VHAN)/VHAN - Employe | $3.03 |
| Aetna | Commercial | $3.22 |
Inpatient
$1.09cash price (self-pay)
$4.67list price
$2.50–$13.41range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $3.22 |
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