Ketorolac injection, 15 mg at Gifford Medical Center. CPT J1885.
What Gifford Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$0.01cash price (self-pay)
$10.75list price
$0.03–$11.21range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MVP Health Care of NY | Commercial | $0.30 |
| MVP Health Care of NY | Medicare Advantage | $0.30 |
| United Healthcare | Medicare Advantage | $0.30 |
| United Healthcare | VA CCN | $0.30 |
| Blue Cross Blue Shield of New Hampshire | Qualified Health Plan | $0.31 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $0.34 |
| Blue Cross Blue Shield of New Hampshire | SHOP On Exchange | $0.42 |
| United Healthcare | Commercial | $0.46 |
| Martins Point Health Care | Commercial | $0.50 |
| Harvard Pilgrim Health Care | HMO | $0.75 |
| Harvard Pilgrim Health Care | PPO | $0.75 |
| Blue Cross Blue Shield of New Hampshire | Commercial | $1.38 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $1.38 |
| Multiplan | Commercial | $10.00 |
| Aetna of VT | Commercial | $10.11 |
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