Ketorolac injection, 15 mg at Adventist Health Clearlake Hospital. CPT J1885.

What Adventist Health Clearlake Hospital publishes for this service, straight from its standard-charges file, last updated July 29, 2026.

Outpatient / ER

$1.65cash price (self-pay)

$41.64list price

$0.89–$60.54range insurers pay

Insurance plan	Negotiated rate
UHC Jll \| UHC Jll	$0.89
UHC All Payer - All Other Plans \| UHC All Payer - All Other Plans	$0.89
Bc Managed Mcal \| Bc Managed Mcal	$6.96
Partnership Mcal - All Plans \| Partnership Mcal - All Plans	$6.96
Medi-Cal \| Medi-Cal	$6.96
Tricare Blue Shield- All Plans \| Tricare Blue Shield- All Plans	$8.75
Blue Shield Mcr Adv \| Blue Shield Mcr Adv	$8.75
Kaiser Mcr Adv \| Kaiser Mcr Adv	$8.75
Blue Cross Mcr Adv \| Blue Cross Mcr Adv	$9.10
UHC Mcr Adv \| UHC Mcr Adv	$9.62
Ah Employee Health Plan - All Plans \| Ah Employee Health Plan - All Pl	$17.49
Blue Cross Exchange \| Blue Cross Exchange	$17.99
Blue Cross Non-Mcs \| Blue Cross Non-Mcs	$19.98
Blue Cross Mcs - All Other Plans \| Blue Cross Mcs - All Other Plans	$23.94
Aetna- All Plans \| Aetna- All Plans	$31.12
Western Growers- All Plans \| Western Growers- All Plans	$31.23
Blue Shield Epn - All Other Plans \| Blue Shield Epn - All Other Plans	$31.98
Blue Shield Non-Epn \| Blue Shield Non-Epn	$31.98
First Health- All Plans \| First Health- All Plans	$33.31
Healthnet- All Plans \| Healthnet- All Plans	$34.14
Foundation- All Plans \| Foundation- All Plans	$35.40
Health Mgmt Network- All Plans \| Health Mgmt Network- All Plans	$35.40
Humana- All Plans \| Humana- All Plans	$35.40
Phcs- All Plans \| Phcs- All Plans	$35.40
Cigna- All Plans \| Cigna- All Plans	$37.48
Interplan- All Plans \| Interplan- All Plans	$37.48
Kaiser- All Other Plans \| Kaiser- All Other Plans	$37.48
Three Rivers Provider Network- All Plans \| Three Rivers Provider Netwo	$37.48

Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.