Ketorolac injection, 15 mg at Arizona General Hospital Mesa. CPT J1885.
What Arizona General Hospital Mesa publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$13.34cash price (self-pay)
$54.00list price
$0.37–$44.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alignment Health | Medicare|All Plans | $0.37 |
| Health Choice | Medicare|All Plans | $0.37 |
| Humana | Medicare|All Plans | $0.37 |
| Mercy Care | Medicare|All Plans | $0.37 |
| WellCare | Medicare|All Plans | $0.37 |
| BCBS - AZ | Medicare|All Plans | $0.38 |
| Fresenius | Medicare|All Plans | $0.38 |
| United | Medicare|All Plans | $0.38 |
| Devoted HP | Medicare|All Plans | $0.39 |
| Cigna | Commercial|All Other Plans | $0.61 |
| Cigna | Commercial|PPO | $0.61 |
| Health Choice | Medicaid|All Plans | $0.77 |
| Mercy Care | Medicaid|All Plans | $0.77 |
| United | Medicaid|All Plans | $0.77 |
| Aetna | Commercial|All Other Plans | $1.19 |
| Aetna | Commercial|PPO | $1.19 |
| BCBS - AZ | Commercial|MaricopaFocus | $1.63 |
| BCBS - AZ | Commercial|Neighborhood | $1.63 |
| BCBS - AZ | Commercial|All Other Plans | $2.17 |
| Coventry | Commercial|All Plans | $28.62 |
| Multiplan | Commercial|All Plans | $44.12 |
Inpatient
$13.34cash price (self-pay)
$54.00list price
$28.62–$44.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coventry | Commercial|All Plans | $28.62 |
| Multiplan | Commercial|All Plans | $44.12 |
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