Ketorolac injection, 15 mg at Brattleboro Memorial Hospital. CPT J1885.
What Brattleboro Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 29, 2025.
Outpatient / ER
$1.05cash price (self-pay)
$4.50list price
$0.48–$15.20range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Medicare Advantage | $0.48 |
| Anthem | Individual Pathway Exchange | $0.48 |
| Anthem | Medicare Advantage | $0.48 |
| Harvard Pilgrim Health Care | Medicare Advantage | $0.48 |
| Humana | Medicare Advantage | $0.48 |
| Martin's Point | Medicare Advantage | $0.48 |
| MVP Healthcare | Medicare Advantage | $0.48 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $0.49 |
| Cigna | Medicare Advantage | $0.50 |
| New Hampshire Healthy Families (WellCare) | Medicare Advantage | $0.50 |
| Wellsense | Medicare Advantage | $0.51 |
| Amerihealth-Caritas | Managed Medicaid | $0.53 |
| New Hampshire Healthy Families | Managed Medicaid | $0.53 |
| Wellsense | Managed Medicaid | $0.53 |
| Anthem | Group Pathway Exchange | $0.67 |
| Anthem | Commercial | $1.69 |
| Harvard Pilgrim Health Care | Exchange | $2.56 |
| Harvard Pilgrim Health Care | Elevate Health | $3.35 |
| Tufts Health Plan | Managed Medicaid | $3.79 |
| Harvard Pilgrim Health Care | Commercial | $3.84 |
| Tufts Health Plan | Medicare Advantage | $3.87 |
| MVP Healthcare | Commercial | $3.89 |
| Tufts Health Plan | All Commercial Plans | $3.95 |
| Vermont Health Plan | All Plans | $3.95 |
| Blue Cross Blue Shield of Vermont | Commercial | $3.97 |
| United Healthcare | Commercial | $4.10 |
| MultiPlan | All Plans | $4.19 |
| Cigna | Commercial | $4.19 |
| Health New England | All Plans | $4.28 |
| Aetna | All Plans | $4.37 |
Inpatient
$1.05cash price (self-pay)
$4.41list price
$0.87–$15.20range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Health Care | Exchange | $2.56 |
| Harvard Pilgrim Health Care | Elevate Health | $3.35 |
| Tufts Health Plan | Managed Medicaid | $3.39 |
| Harvard Pilgrim Health Care | Commercial | $3.84 |
| Tufts Health Plan | Medicare Advantage | $3.84 |
| Vermont Health Plan | All Plans | $3.95 |
| Blue Cross Blue Shield of Vermont | Commercial | $3.97 |
| MVP Healthcare | Commercial | $3.97 |
| Tufts Health Plan | All Commercial Plans | $4.01 |
| Cigna | Commercial | $4.19 |
| United Healthcare | Commercial | $4.19 |
| Aetna | All Plans | $4.28 |
| Coventry | All Plans | $4.28 |
| Health New England | All Plans | $4.28 |
| MultiPlan | All Plans | $4.28 |
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