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Ketorolac injection, 15 mg at Tricities Hospital. CPT J1885.

What Tricities Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$231cash price (self-pay)
$253list price
$0.29–$248range insurers pay
Insurance planNegotiated rate
TriAtlantic | TRICR$0.29
Health Net | TRICR$0.32
Humana Military | TRCR$0.33
Johns Hopkins | UniformedServicesFamilyHealthPlan$0.34
Cigna | IFP$0.53
Cigna | HMO$0.77
Cigna | PPO$0.77
UNITED | AllPayerAppendix$0.90
UNITED | NavigateCorePayer$0.90
UNITED | NewBusiness$0.90
UNITED | SmallBusiness$0.90
United | OptionsPPO$52.62
Virginia Health Network | ULTRA$88.55
United | GlobalBenefitPlan$114
Value Options | COMM$152
Virginia Health Network | COMM$164
Virginia Health Network | WC$164
CorVel | WorkersComp$182
OccuNet Workers Comp | WorkersComp$202
4Most Health Nework | COMM$228
Multiplan | PHCS$228
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All common services at Tricities Hospital