Ketorolac injection, 15 mg at Arroyo Grande Hospital. CPT J1885.
What Arroyo Grande Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$23.12cash price (self-pay)
$54.00list price
$0.44–$52.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare|All Plans | $0.44 |
| Alignment | Medicare|All Plans | $0.44 |
| BCBS - Anthem | Medicare|All Plans | $0.44 |
| Humana | Medicare|All Plans | $0.44 |
| Kaiser | Medicare|All Plans | $0.44 |
| Scan Health Plan | Medicare|All Plans | $0.44 |
| United | Medicare|All Plans | $0.44 |
| United | Commercial|Options PPO | $0.81 |
| United | Commercial|Non-Options PPO | $0.91 |
| United | Commercial|All Other Plans | $1.24 |
| United | Commercial|HMO | $1.24 |
| Blue Shield CA | Commercial|Exchange | $1.95 |
| Blue Shield CA | Commercial|FFS | $1.95 |
| Health Net | Commercial|Care Product | $3.61 |
| Health Net | Commercial|FFS | $4.10 |
| CenCal | Medicaid|< 21 | $4.86 |
| CenCal | Medicaid|> 21 | $4.86 |
| Health Net | Medicaid|< 21 | $7.50 |
| Health Net | Medicaid|> 21 | $7.50 |
| BCBS - Anthem | Commercial|Non-MCS | $19.87 |
| Cigna | Commercial|All Other Plans | $24.30 |
| Cigna | Commercial|PPO | $24.30 |
| BCBS - Anthem | Commercial|MCS | $26.66 |
| Western Growers | Commercial|All Plans | $27.00 |
| Kaiser | Commercial|All Plans | $34.02 |
| First Health | Commercial|All Plans | $45.36 |
| Healthsmart | Commercial|All Plans | $49.68 |
| MultiPlan | Commercial|All Plans | $52.92 |
Inpatient
$23.12cash price (self-pay)
$54.00list price
$34.02–$52.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial|All Plans | $34.02 |
| First Health | Commercial|All Plans | $45.36 |
| Healthsmart | Commercial|All Plans | $49.68 |
| MultiPlan | Commercial|All Plans | $52.92 |
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