Ketorolac injection, 15 mg at UVA Health Haymarket Medical Center. CPT J1885.
What UVA Health Haymarket Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$18.00cash price (self-pay)
$37.80list price
$0.33–$41.04range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| ANTHEM [30001] | UVAHM - Anthem Exchange | $0.33 |
| ANTHEM CAREFIRST [30008] | UVAHM - Anthem (PPO PAR HMO) | $0.33 |
| ANTHEM UHC [30009] | UVAHM - Anthem (PPO PAR HMO) | $0.33 |
| KAISER PERMANENTE MEDICARE [10513] | UVAHM - Managed Medicare (Kaiser) | $0.33 |
| MEDICARE REPLACEMENT GENERIC [10500] | UVAHM - Managed Medicare (vario | $0.33 |
| SENTARA MEDICARE [10506] | UVAHM - Managed Medicare (various) | $0.33 |
| UNITED HEALTHCARE MEDICARE [10507] | UVAHM - Managed Medicare (various | $0.33 |
| VA CCN [99927] | UVAHM - Managed Medicare (various) | $0.33 |
| VETERANS ADMINISTRATION [99910] | UVAHM - Managed Medicare (various) | $0.33 |
| VIRGINIA PREMIER MEDICARE [10508] | UVAHM - Managed Medicare (various) | $0.33 |
| ANTHEM MEDICARE [10503] | UVAHM - Managed Medicare (various) | $0.33 |
| ANTHEM [30001] | UVAHM - Anthem (PPO PAR HMO) | $0.33 |
| CIGNA HEALTHSPRING MEDICARE [10519] | UVAHM - Managed Medicare (variou | $0.33 |
| LIFEWORKS MEDICARE [10515] | UVAHM - Managed Medicare (various) | $0.33 |
| UNITED HEALTHCARE [40032] | UVAHM - Anthem (PPO PAR HMO) | $0.33 |
| VA CCN [99926] | UVAHM - Managed Medicare (various) | $0.33 |
| AETNA MEDICARE [10501] | UVAHM - Managed Medicare (Aetna) | $0.34 |
| HUMANA MEDICARE [10505] | UVAHM - Managed Medicare (Humana) | $0.34 |
| HUMANA TRANSPLANT [40054] | UVAHM - Managed Medicare (Humana) | $0.34 |
| CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $0.72 |
| TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $0.72 |
| CAREFIRST [30007] | UVAPW & UVAHM - Carefirst RPN | $0.82 |
| CAREFIRST [30007] | UVAPW & UVAHM - Carefirst HMO | $0.82 |
| CIGNA [40005] | UVAPW & UVAHM - Cigna (OAP) | $0.89 |
| Cigna [40005] | Cigna 182223 PPO [4000520] | $1.01 |
| Cigna [40005] | Cigna Nalc Supplemental [4000510] | $1.01 |
| AETNA [40002] | UVAPW & UVAHM - Aetna | $17.91 |
| United Healthcare [40032] | United Exchange Plan [4003231] | $21.09 |
| GEHA [40009] | UVAPW & UVAHM - United (All Payer) | $23.44 |
| UNITED HEALTHCARE [40032] | UVAPW & UVAHM - United (All Payer) | $23.44 |
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