Ketorolac injection, 15 mg at Lewisgale Hospital-alleghany. CPT J1885.
What Lewisgale Hospital-alleghany publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$17.00cash price (self-pay)
$146list price
$0.29–$139range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriAtlantic | TRICR | $0.29 |
| Health Net | TRICR | $0.31 |
| Humana Military | TRCR | $0.33 |
| United | AllPayerAppendix | $0.87 |
| Virginia Health Network | ULTRA | $51.10 |
| United | OptionsPPO | $55.48 |
| United | GlobalBenefitPlan | $65.70 |
| Aetna | Broad | $78.84 |
| Aetna | Broad-POC | $78.84 |
| Greenvbrier Sporting Club | COMM | $87.60 |
| Cigna | HMO | $90.37 |
| Cigna | PPO | $90.37 |
| Virginia Health Network | COMM | $104 |
| Virginia Health Network | WC | $104 |
| CorVel | WorkersComp | $105 |
| CSX Hotels | Product | $117 |
| OccuNet Workers Comp | WorkersComp | $117 |
| Health Payors Organization | COMM | $124 |
| 4Most | COMM | $131 |
| Alleghany Highland Community | COMM | $131 |
| American Postal Workers Union | COMM | $131 |
| C&O Employees Hospital Assn | COMM | $131 |
| Community Care Network | COMM | $131 |
| Multiplan | PHCS | $131 |
| One Health Plan | POS | $131 |
| One Health Plan | PPO | $131 |
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