Ketorolac injection, 15 mg at Wj Mangold Memorial Hospital. CPT J1885.
What Wj Mangold Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$20.00cash price (self-pay)
$23.00list price
$8.10–$19.55range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United HealthCare | Commercial | $9.22 |
| Amerigroup | Medicare Advantage | $9.43 |
| FirstCare | Medicare | $9.43 |
| Humana | Medicare Advantage | $9.43 |
| United HealthCare | Mediare Advantage | $9.43 |
| TriCare | TriCare | $9.52 |
| Amerigroup | CHIP | $14.86 |
| Amerigroup | Medicaid | $14.86 |
| FirstCare | CHIP | $14.86 |
| FirstCare | Medicaid | $14.86 |
| FirstCare | Commercial | $15.38 |
| FirstCare | PPO | $15.38 |
| Blue Cross Blue Shield | Commercial | $16.40 |
| Cigna HealthCare | Commercial | $16.40 |
| TeamChoice | PPO | $16.40 |
| Aetna Health Inc. | Commercial | $17.43 |
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