Ketorolac injection, 15 mg at University of Vermont Medical Center. CPT J1885.
What University of Vermont Medical Center publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$6.00cash price (self-pay)
$6.00list price
$0.31–$5.91range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $0.31 |
| Capital District Physicians' Health Plan | Medicare Advantage | $0.31 |
| Humana Military | TRICARE | $0.31 |
| St. Regis | HMO | $0.31 |
| United Healthcare | Medicare Advantage | $0.31 |
| Veterans Affairs Community Care Network | Veterans Administration | $0.31 |
| BlueCross BlueShield Vermont | Medicare Advantage | $0.32 |
| Martins Point | TRICARE Prime/Department of Defense | $0.32 |
| MVP | Medicare Advantage | $0.32 |
| Fidelis Care | Essential Plans | $0.37 |
| Fidelis Care | Managed Medicaid | $0.37 |
| Fidelis Care | Medicare Advantage | $0.37 |
| Wellpath | FCI Ray Brook | $0.47 |
| United Healthcare | Managed Medicaid/Essential Plans | $1.20 |
| Cigna | Commercial | $1.36 |
| Excellus BlueCross BlueShield | Medicare Advantage | $1.68 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $2.88 |
| Capital District Physicians' Health Plan | Managed Medicaid/Essential | $3.00 |
| Wellpath | Correctional Healthcare | $3.30 |
| BlueCross BlueShield Vermont | The Vermont Health Plan/Vermont Health | $3.56 |
| Capital District Physicians' Health Plan | Commercial | $4.49 |
| BlueCross BlueShield Vermont | Indemnity | $4.57 |
| Empire BlueCross BlueShield | HMO | $4.68 |
| Harvard Pilgrim | Commercial | $4.80 |
| MagnaCare | Commercial | $4.80 |
| MVP | Commercial | $4.80 |
| Excellus BlueCross BlueShield | Commercial | $5.01 |
| Coventry | Commercial | $5.10 |
| EBPA | ERISA Welfare Plans | $5.16 |
| NPPN | Commercial | $5.40 |
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