Ketorolac injection, 15 mg at Northeast Methodist Hospital. CPT J1885.
What Northeast Methodist Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$18.73cash price (self-pay)
$28.98list price
$0.34–$34.54range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriWest Health Alliance | TRICARE | $0.34 |
| Value Options | TRICARE | $0.34 |
| BCBS | MyBlueHealth | $0.38 |
| BCBS | BlueAdvantage | $0.48 |
| United | AllPayerAppendix | $0.56 |
| United | Charter | $0.56 |
| United | NexusACO | $0.56 |
| United | SmallGroup | $0.56 |
| Cigna | NewBusinessNetwork | $0.59 |
| BCBS | BlueEssentials | $0.60 |
| BCBS | BlueEssentialsAccess | $0.60 |
| Cigna | HMO | $0.64 |
| Cigna | OpenAccessPlus | $0.64 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $0.65 |
| BCBS | PPO | $0.70 |
| Cigna | PPO | $0.78 |
| Superior Health | CHIP | $1.45 |
| Superior Health | CHPFC | $1.45 |
| Superior Health | STAR | $1.45 |
| Superior Health | STARKids | $1.45 |
| Superior Health | STARPLUS | $1.45 |
| Community First Health Plans | CHIP | $3.48 |
| Community First Health Plans | CHIPPerinate | $3.48 |
| Community First Health Plans | MCDSTAR | $3.48 |
| Amerigroup | CHIP | $4.05 |
| Amerigroup | CHIPBH | $4.05 |
| Amerigroup | MCD | $4.05 |
| Amerigroup | MCDBH | $4.05 |
| United | OptionsPPO | $7.28 |
| BCBS | Trad | $8.55 |
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