Ketorolac injection, 15 mg at Forks Community Hospital. CPT J1885.
What Forks Community Hospital publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
$4.04cash price (self-pay)
$5.76list price
$1.75–$318range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence Medicaid | Regence Medicaid | $1.99 |
| Molina Medicaid | Molina Medicaid | $2.10 |
| Amerigroup Medicaid-All Plans | Amerigroup Medicaid-All Plans | $2.11 |
| Coordinated Care (Mco) Mcd-All Plans | Coordinated Care (Mco) Mcd-All | $2.15 |
| UHC Medicaid | UHC Medicaid | $2.56 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $2.59 |
| Tricare-All Plans | Tricare-All Plans | $2.59 |
| Triwest-All Plans | Triwest-All Plans | $2.73 |
| Community Health Network Mcr-All Other Plans | Community Health Networ | $2.73 |
| UHC Mcr Adv | UHC Mcr Adv | $2.73 |
| Ambetter Ccwa Exch - All Plans | Ambetter Ccwa Exch - All Plans | $3.01 |
| Wellcare Med Adv - All Plans | Wellcare Med Adv - All Plans | $3.01 |
| Regence-All Other Plans | Regence-All Other Plans | $3.50 |
| Community Health Exchange | Community Health Exchange | $3.95 |
| UHC All Payer/Doctors Plan/Nexus-All Other Plans | UHC All Payer/Docto | $4.89 |
| Aetna-All Plans | Aetna-All Plans | $5.47 |
| Premera Blue Cross-All Plans | Premera Blue Cross-All Plans | $5.47 |
| Molina Commercial-All Other Plans | Molina Commercial-All Other Plans | $5.58 |
| Cigna-All Plans | Cigna-All Plans | $5.76 |
| First Choice-All Plans | First Choice-All Plans | $5.76 |
| Molina Medicare | Molina Medicare | $318 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.