Ketorolac injection, 15 mg at Seymour Hospital. CPT J1885.
What Seymour Hospital publishes for this service, straight from its standard-charges file, last updated January 14, 2026.
Outpatient / ER
$11.20cash price (self-pay)
$44.00list price
$10.40–$36.80range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicare Advantage | Medicare Advantage | $28.60 |
| United Medicare Advantage | Medicare Advantage | $28.60 |
| Aetna - Medicare Advantage | Medicare Advantage | $28.60 |
| Wellmed | Medicare Advantage | $28.60 |
| Aetna - Meritain | UNKNOWN | $30.80 |
| Aetna - HMO/PPO | HMO/PPO/POS | $30.80 |
| BCBS - HMO/PPO/Blue Advantage | HMO/PPO/Blue Advantage | $35.20 |
| Cigna - HMO/PPO | HMO/PPO | $35.20 |
| Galaxy Health Network | HMO/PPO/POS | $35.20 |
Inpatient
$11.20cash price (self-pay)
$44.00list price
$11.20–$46.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna - Meritain | UNKNOWN | $30.80 |
| Aetna - HMO/PPO | HMO/PPO/POS | $30.80 |
| BCBS - HMO/PPO/Blue Advantage | HMO/PPO/Blue Advantage | $35.20 |
| Cigna - HMO/PPO | HMO/PPO | $35.20 |
| Galaxy Health Network | HMO/PPO/POS | $35.20 |
| Aetna - Medicare Advantage | Medicare Advantage | $44.00 |
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