Ketorolac injection, 15 mg at Wickenburg Community Hospital. CPT J1885.
What Wickenburg Community Hospital publishes for this service, straight from its standard-charges file, last updated September 10, 2026.
Outpatient / ER
$57.20cash price (self-pay)
$89.00list price
$0.36–$2.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ahcccs_qmb_-Clin | X9c | $0.52 |
| Ahcccs_qmb_-Ip | X9 | $0.52 |
| Ahcccs_qmb_-Op | X9b | $0.52 |
| Ahcccs_qmb_-Pro | X9p | $0.52 |
| Ahcccs_qmb_-Rec | X9r | $0.52 |
| Ahcccs_qmb_-Sw | X9s | $0.52 |
| Bcbs__-Pro | Bap_1 | $2.52 |
| Bcbs_-Clin | Bac_1 | $2.52 |
| Bcbs_-Ip | Ba_1 | $2.52 |
| Bcbs_-Op | Bab_1 | $2.52 |
| Bcbs_-Rec | Bar_1 | $2.52 |
| Bcbs_-Sw | Bas_1 | $2.52 |
| Bcbs_az_metropolitan_trust_amt001_-Clin | Bmc_1 | $2.52 |
| Bcbs_az_metropolitan_trust_amt001_-Ip | Bm_1 | $2.52 |
| Bcbs_az_metropolitan_trust_amt001_-Op | Bmb_1 | $2.52 |
| Bcbs_az_metropolitan_trust_amt001_-Pro | Bmp_1 | $2.52 |
| Bcbs_az_metropolitan_trust_amt001_-Rec | Bmr_1 | $2.52 |
| Bcbs_az_metropolitan_trust_amt001_-Sw | Bms_1 | $2.52 |
| Bcbs_bashas_bas001_-Clin | Bfc_1 | $2.52 |
| Bcbs_bashas_bas001_-Ip | Bf_1 | $2.52 |
| Bcbs_bashas_bas001_-Op | Bfb_1 | $2.52 |
| Bcbs_bashas_bas001_-Pro | Bfp_1 | $2.52 |
| Bcbs_bashas_bas001_-Rec | Bfr_1 | $2.52 |
| Bcbs_bashas_bas001_-Sw | Bfs_1 | $2.52 |
| Bcbs_central_az_proj_cap001_-Clin | Bkc_1 | $2.52 |
| Bcbs_central_az_proj_cap001_-Ip | Bk_1 | $2.52 |
| Bcbs_central_az_proj_cap001_-Op | Bkb_1 | $2.52 |
| Bcbs_central_az_proj_cap001_-Pro | Bkp_1 | $2.52 |
| Bcbs_central_az_proj_cap001_-Rec | Bkr_1 | $2.52 |
| Bcbs_central_az_proj_cap001_-Sw | Bks_1 | $2.52 |
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