Ketorolac injection, 15 mg at Rolling Plains Memorial Hospital. CPT J1885.
What Rolling Plains Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$12.00cash price (self-pay)
$18.00list price
$13.00–$33.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana (Choice Care) | Commercial | $13.00 |
| Blue Cross and Blue Shield | HMO | $14.00 |
| Blue Cross and Blue Shield | PPO | $14.00 |
| Blue Cross and Blue Shield | Traditional | $14.00 |
| United Healthcare | Commercial | $14.00 |
| Aetna | Commercial | $15.00 |
| Cigna | Commercial | $15.00 |
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