Ketorolac (Toradol) injection, 15mg
A non-narcotic pain medication given as a shot or IV. Common in ERs for moderate to severe pain.
Based on typical US negotiated and cash-pay rates. Hospital charges can run significantly higher — often 2–10x these numbers. If your bill is well above this range, it's worth questioning.
- Charged $150+ per dose — the wholesale cost is typically under $5.
- Multiple doses billed for a single injection.
Hospital markup on this drug is often 20–50x cost. Cite the average wholesale price and request a reduction.
Frequently asked questions
What does CPT code J1885 mean?
A non-narcotic pain medication given as a shot or IV. Common in ERs for moderate to severe pain. In billing terms it's categorized as "Ketorolac (Toradol) injection, 15mg" under Drugs.
How much should CPT J1885 cost?
Typical negotiated and cash-pay rates run about $5–$40. Hospital list prices are often 2–10× higher, but insurers rarely pay those. If your bill is well above the top of this range, ask for an itemized bill and compare.
Is CPT J1885 covered by insurance?
Most commercial plans and Medicare cover ketorolac (toradol) injection, 15mg when it's medically necessary and coded correctly. Denials usually come from missing prior authorization, incorrect modifiers, or the payer disputing medical necessity — all of which can be appealed.
What should I do if CPT J1885 looks wrong on my bill?
Hospital markup on this drug is often 20–50x cost. Cite the average wholesale price and request a reduction.
Can I dispute a charge for CPT J1885?
Yes. You have the right to request an itemized bill, dispute the coding with the provider's billing office, and appeal the insurer's decision. Federal rules (including the No Surprises Act for emergency and out-of-network ancillary services) protect you from many surprise charges. BillCheck can generate the appeal or negotiation letter for you.
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BillCheck provides informational analysis only and is not legal, medical, or financial advice. Verify all details before submitting any correspondence to insurers or providers. Prices shown are typical ranges and vary by region, payer, and facility.