Ketorolac injection, 15 mg at Southwestern Vermont Medical Center. CPT J1885.
What Southwestern Vermont Medical Center publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$3.50cash price (self-pay)
$5.00list price
$0.29–$18.06range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tufts | Commercial | $0.29 |
| CDPHP | Medicaid/CHP | $0.48 |
| CIGNA | Medicare Advantage | $0.68 |
| CDPHP | Medicare | $0.68 |
| Blue Cross | Medicare | $0.68 |
| Fidelis | Medicare | $0.68 |
| HNE | Medicare | $0.68 |
| Humana | Medicare | $0.68 |
| MVP | Medicare | $0.68 |
| UHC | Medicare | $0.68 |
| Wellcare | Medicare | $0.68 |
| Fidelis | Medicaid | $0.68 |
| Fidelis | CHP | $0.68 |
| Fidelis | Essential (Aliessa) | $0.68 |
| Aetna | Medicare | $0.68 |
| Cigna | Commercial | $0.70 |
| Harvard Pilgrim | Commercial | $0.70 |
| MVP | VT Commercial/VT Exchange | $0.70 |
| MVP | NY Commercial/ Exchange Group plans | $0.70 |
| MVP | NY Exchange Individual Plans | $0.70 |
| Fidelis | Exchange (QHP) | $0.71 |
| Fidelis | Essential | $0.71 |
| Blue Cross | All Vermont Plans | $0.75 |
| CDPHP | Commercial/Exchange | $0.75 |
| Health New England | Commercial | $0.75 |
| Allegiance | SWVT Employee Only | $1.05 |
| UHC | Commercial | $1.05 |
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