Ketorolac injection, 15 mg at Lewisgale Hospital-montgomery. CPT J1885.
What Lewisgale Hospital-montgomery publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$178cash price (self-pay)
$178list price
$0.29–$163range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriAtlantic | TRICR | $0.29 |
| Health Net | TRICR | $0.31 |
| Humana Military | TRCR | $0.33 |
| United | AllPayerAppendix | $0.87 |
| Cigna | NPR | $30.97 |
| Virginia Health Network | ULTRA | $62.30 |
| United | OptionsPPO | $68.89 |
| Cigna | HMO | $74.05 |
| Cigna | PPO | $74.05 |
| United | GlobalBenefitPlan | $80.10 |
| Greenvbrier Sporting Club | COMM | $107 |
| Multiplan | PHCS | $119 |
| Virginia Health Network | COMM | $126 |
| Virginia Health Network | WC | $126 |
| CorVel | WorkersComp | $128 |
| Richfield Nursing Center | COMM | $134 |
| Richfield Retirement Community | COMM | $134 |
| Community Care Network | COMM | $142 |
| Graham-White Manufacturing | COMM | $142 |
| OccuNet Workers Comp | WorkersComp | $142 |
| One Health Plan | POS | $142 |
| One Health Plan | PPO | $142 |
| Phcs | Comm | $151 |
| Patients Choice | COMM | $157 |
| 4Most | COMM | $160 |
| American Postal Workers Union | COMM | $160 |
| Star Transportation | COMM | $160 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.