Ketorolac injection, 15 mg at UVA Health Medical Center. CPT J1885.
What UVA Health Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$6.01cash price (self-pay)
$27.81list price
$0.30–$40.13range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BLUE RIDGE PACE [10510] | UVAMC - Managed Medicare (Innovage) | $0.30 |
| BLUE RIDGE PACE MEDICAID [20513] | UVAMC - Managed Medicare (Innovage) | $0.30 |
| ANTHEM MEDICARE [10503] | UVAMC - Managed Medicare (various) | $0.33 |
| CIGNA HEALTHSPRING MEDICARE [10519] | UVAMC - Managed Medicare (variou | $0.33 |
| HMO PART B [10099] | UVAMC - Managed Medicare (various) | $0.33 |
| KAISER PERMANENTE MEDICARE [10513] | UVAMC - Managed Medicare (various | $0.33 |
| LIFEWORKS MEDICARE [10515] | UVAMC - Managed Medicare (various) | $0.33 |
| MOLINA COMPLETE CARE MEDICARE [10517] | UVAMC - Managed Medicare (vari | $0.33 |
| AETNA MEDICARE [10501] | UVAMC - Managed Medicare (various) | $0.33 |
| HUMANA MEDICARE [10505] | UVAMC - Managed Medicare (various) | $0.33 |
| MEDICARE REPLACEMENT NONPAR GENERIC [10516] | UVAMC - Managed Medicare | $0.33 |
| SENTARA MEDICARE [10506] | UVAMC - Managed Medicare (various) | $0.33 |
| SENTARA [40021] | UVAMC - Optima (Indiv) | $0.46 |
| SENTARA [40021] | UVAMC - Optima (Group) | $0.47 |
| SENTARA BEHAVIORAL HEALTH [40052] | UVAMC - Optima (Group) | $0.47 |
| ANTHEM [30001] | UVAMC - Anthem Exchange | $0.52 |
| ANTHEM CAREFIRST [30008] | UVAMC - Anthem (PPO PAR HMO) | $0.68 |
| UNITED HEALTHCARE [40032] | UVAMC - Anthem (PPO PAR HMO) | $0.68 |
| ANTHEM UHC [30009] | UVAMC - Anthem (PPO PAR HMO) | $0.68 |
| CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $0.73 |
| TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $0.73 |
| CIGNA [40005] | UVAMC - Cigna (OAP) | $0.89 |
| CIGNA [40005] | UVAMC - Cigna (PPO) | $1.01 |
| BEACON HEALTH OPTIONS [40012] | UVAMC - Misc. (Beacon BH) | $13.91 |
| COMMERCIAL GENERIC [40000] | UVAMC - Valley Health | $14.60 |
| COMMERCIAL CONTRACTED HB ONLY [40056] | UVAMC - Valley Health | $14.60 |
| Commercial Generic [40000] | Valleyhealth/Peak [4000016] | $14.60 |
| OPTUM BEHAVIORAL HEALTH CARVE OUTS [40041] | UVAMC - Optum (BH) | $16.68 |
| COMMERCIAL CONTRACTED TPA [40055] | UVAMC - Misc. (Greenbrier) | $19.46 |
| COMMERCIAL GENERIC [40000] | UVAMC - Misc. (Greenbrier) | $19.46 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.