Ketorolac injection, 15 mg at Dardanelle Regional Medical Center. CPT J1885.
What Dardanelle Regional Medical Center publishes for this service, straight from its standard-charges file, last updated August 17, 2026.
Outpatient / ER
$1.90cash price (self-pay)
$20.95list price
$0.32–$32.41range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS of AR | BCBS of AR | $0.32 |
| BCBS - Exchange | BCBS - Exchange | $0.32 |
| United Healthcare | United Healthcare | $0.40 |
| Self-Pay | Self-Pay | $5.24 |
| MEDICARE MANAGED 100Percentage | MEDICARE MANAGED 100Percentage | $5.24 |
| Humana Gold (Mcr) | Humana Gold (Mcr) | $5.29 |
| TriCare | TriCare | $5.33 |
| UHC Medicare Advantage | UHC Medicare Advantage | $5.37 |
| Aetna Medicare | Aetna Medicare | $5.40 |
| Ambetter | Ambetter | $6.55 |
| ALLWELL (MCR)q | ALLWELL (MCR) | $6.55 |
| Cigna | Cigna | $8.38 |
| Coresource / Luminare | Coresource / Luminare | $15.71 |
| Aetna / Coventry | Aetna / Coventry | $16.76 |
| Union Pacific Railroad | Union Pacific Railroad | $17.81 |
| Non Contracted | Non Contracted | $20.95 |
Inpatient
$7.59cash price (self-pay)
$20.95list price
$1.90–$32.41range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Self-Pay | $5.24 |
| Union Pacific Railroad | Union Pacific Railroad | $17.81 |
| Non Contracted | Non Contracted | $20.95 |
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