Ketorolac injection, 15 mg at Carilion Roanoke Memorial Hospital. CPT J1885.
What Carilion Roanoke Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 17, 2026.
Outpatient / ER
$0.92cash price (self-pay)
$4.78list price
$0.28–$7.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna - Medicare Prime | Medicare Advantage | $0.28 |
| Humana Military | Tricare | $0.30 |
| Humana - Dual Eligible | Dual Eligible | $0.30 |
| Aetna - Medicare | Medicare Advantage | $0.31 |
| United Healthcare - Medicare | Medicare Advantage | $0.31 |
| Anthem - Medicare Advantage | Medicare Advantage | $0.31 |
| Humana | Medicare Advantage | $0.31 |
| Sentara Health Plan | Medicare Advantage | $0.32 |
| Anthem - Exchange | Exchange | $0.82 |
| Anthem Healthkeeper Plus | Managed Medicaid | $0.87 |
| Sentara Health Plan | Managed Medicaid | $0.89 |
| Anthem - PPO PAR HMO | Commercial | $0.91 |
| United Healthcare - Medicaid | Managed Medicaid | $0.91 |
| ABH of WVA (formerly Coventry) | Managed Medicaid | $0.91 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $0.91 |
| Humana Medicaid | Managed Medicaid | $0.91 |
| United Healthcare - RCPS | Commercial | $2.40 |
| Aetna - Preferred | Commercial | $2.43 |
| Aetna | Choice POS II | $2.48 |
| Gateway - Tier 3 | Commercial | $2.63 |
| United Healthcare - Non Option PPO | Commercial | $2.73 |
| Sentara Health Plan | Commercial | $2.97 |
| VHN - ULTRA | Commercial | $2.97 |
| Aetna - BoB | Commercial | $3.18 |
| Cigna - HMO | Commercial | $3.22 |
| Connecticare | Commercial | $3.35 |
| Cigna - PPO | Commercial | $3.44 |
| United Healthcare - Options PPO | Commercial | $3.45 |
| VHN - PLUS | Commercial | $3.68 |
| VHN | Commercial | $3.83 |
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