Ketorolac injection, 15 mg at Prosser Memorial Hospital. CPT J1885.
What Prosser Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$14.85cash price (self-pay)
$27.00list price
$3.10–$25.05range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Permanente | All Commercial Plans | $3.10 |
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $5.75 |
| Coordinated Care | All Medicaid Plans | $5.75 |
| Kaiser Permanente | All Medicaid Plans | $5.75 |
| United Healthcare | All Medicaid Plans | $5.75 |
| Molina | All Medicaid Plans | $6.04 |
| Amerigroup | All Medicaid Plans | $6.10 |
| Community Health Plan of Washington | All Medicare Plans | $6.75 |
| Health Alliance Northwest | All Medicare Plans | $6.75 |
| Kaiser Permanente | All Medicare Plans | $6.75 |
| Molina | All Medicare & Marketplace Plans | $6.75 |
| United Healthcare | All Medicare Plans | $6.75 |
| Wellcare | All Medicare Plans | $6.75 |
| Humana | All Medicare Plans | $6.82 |
| Aetna | All Medicare Plans | $8.10 |
| Ambetter | All Commercial Plans | $18.90 |
| Asuris | PPO, POS Commercial Plans | $21.60 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $21.60 |
| Premera | All Commercial Plans | $21.60 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $21.60 |
| United Healthcare | All Commercial Plans | $21.60 |
| Cigna | All Commercial Plans | $22.14 |
| Aetna | All Commercial Plans | $22.95 |
| First Choice | All Commercial Plans | $22.95 |
| Humana | All Commercial Plans | $22.95 |
| MultiPlan | All Commercial Plans | $22.95 |
| Asuris | All Other Commercial Plans | $24.30 |
| Health Management Adminstrators | All Other Commercial Plans | $24.30 |
| Regence | All Other Commercial Plans | $24.30 |
Inpatient
$14.85cash price (self-pay)
$27.00list price
$10.93–$25.33range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $10.93 |
| Coordinated Care | All Medicaid Plans | $10.93 |
| Kaiser Permanente | All Medicaid Plans | $10.93 |
| Molina | All Medicaid Plans | $10.93 |
| United Healthcare | All Medicaid Plans | $10.93 |
| Amerigroup | All Medicaid Plans | $11.59 |
| Ambetter | All Commercial Plans | $20.79 |
| Aetna | All Commercial Plans | $21.60 |
| Asuris | PPO, POS Commercial Plans | $21.60 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $21.60 |
| Premera | All Commercial Plans | $21.60 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $21.60 |
| Cigna | All Commercial Plans | $22.14 |
| First Choice | All Commercial Plans | $22.95 |
| Humana | All Commercial Plans | $22.95 |
| Asuris | All Other Commercial Plans | $24.30 |
| Health Management Adminstrators | All Other Commercial Plans | $24.30 |
| MultiPlan | All Commercial Plans | $24.30 |
| Regence | All Other Commercial Plans | $24.30 |
| Kaiser Permanente | All Commercial Plans | $24.57 |
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