Ketorolac injection, 15 mg at Lewisgale Hospital-pulaski. CPT J1885.
What Lewisgale Hospital-pulaski publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$124cash price (self-pay)
$124list price
$0.26–$112range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military | TRCR | $0.26 |
| TriAtlantic | TRICR | $0.29 |
| Health Net | TRICR | $0.31 |
| United | AllPayerAppendix | $0.87 |
| United | OptionsPPO | $41.42 |
| Virginia Health Network | ULTRA | $43.40 |
| Cigna | HMO | $51.46 |
| Cigna | PPO | $51.46 |
| Aetna | Broad | $55.80 |
| Aetna | Broad-POC | $55.80 |
| United | GlobalBenefitPlan | $55.80 |
| Greenvbrier Sporting Club | COMM | $74.40 |
| Multiplan | PHCS | $82.67 |
| Virginia Health Network | COMM | $88.04 |
| Virginia Health Network | WC | $88.04 |
| CorVel | WorkersComp | $89.28 |
| Richfield Nursing Center | COMM | $93.00 |
| Richfield Retirement Community | COMM | $93.00 |
| Community Care Network | COMM | $99.20 |
| Graham-White Manufacturing | COMM | $99.20 |
| OccuNet Workers Comp | WorkersComp | $99.20 |
| One Health Plan | POS | $99.20 |
| One Health Plan | PPO | $99.20 |
| Patients Choice | COMM | $109 |
| 4Most | COMM | $112 |
| American Postal Workers Union | COMM | $112 |
| Phcs | Comm | $112 |
| Star Transportation | COMM | $112 |
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