Ketorolac injection, 15 mg at Dickenson Community Hospital. CPT J1885.
What Dickenson Community Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$4.49cash price (self-pay)
$36.20list price
$0.53–$103range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Healthcare | Cigna Individual Family Plan | $0.53 |
| United Healthcare | Tenncare United Healthcare | $0.68 |
| Cigna Healthcare | Cigna PPO | $0.70 |
| Cigna Healthcare | Cigna HMO | $0.75 |
| Cigna Healthcare | Cigna Open Access Plus | $0.75 |
| Blue Cross | Anthem Exchange | $1.05 |
| Blue Cross | Anthem HMO | $1.05 |
| Blue Cross | Anthem PPO, Traditional Indemnity | $1.05 |
| Blue Cross | Blue Cross Ballad Health Employee | $7.38 |
| Aetna | Aetna Healthcare Medicare | $10.86 |
| Allcare Medicare | Allcare Medicare | $10.86 |
| Amerigroup | Amerigroup Medicare Wellpoint | $10.86 |
| Blue Cross | Anthem Medicare Virginia | $10.86 |
| Managed Medicaire | Managed Medicaire | $10.86 |
| Sentara Health | Sentara Medicare | $10.86 |
| United Healthcare | United Healthcare Medicare | $10.86 |
| United Mine Workers Of America | United Mine Workers Of America | $10.86 |
| Humana | Humana Medicare | $11.04 |
| Aetna | Aetna Better Health Of Virginia Medicare | $11.18 |
| Molina Healthcare | Molina Healthcare Medicare | $11.29 |
| Cigna Healthcare | Cigna Medicare | $11.41 |
| Devoted Health Plan | Devoted Health Plan Medicare | $11.41 |
| Nhc Advantage | Nhc Advantage | $11.41 |
| Medcost | Medcost Vhn | $12.66 |
| Sentara Health | Sentara Health | $13.35 |
| Ambetter | Ambetter | $13.39 |
| Aetna | Aetna | $28.96 |
| Seven Corners, Inc. | Seven Corners, Inc. | $36.20 |
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