Ketorolac injection, 15 mg at Coast Plaza Hospital. CPT J1885.
What Coast Plaza Hospital publishes for this service, straight from its standard-charges file, last updated February 4, 2026.
Outpatient / ER
$101cash price (self-pay)
$113list price
$5.05–$99.61range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Medi-Cal | $5.05 |
| Cigna | HMO/PPO | $20.52 |
| America's Health Network | HMO | $22.50 |
| Optum Health Plan of California | HMO | $22.50 |
| Provider Network of America | PPO | $39.38 |
| Health Net Salud | HMO/PPO/EPO | $45.69 |
| Health Net/Ambetter | HMO | $52.21 |
| Health Net | HMO/PPO | $53.67 |
| Health Net/Ambetter | PPO/Covered California | $59.41 |
| Affiliated Health Funds | PPO | $61.89 |
| Central Health Plan | HMO | $61.89 |
| Blue Cross | HMO/PPO | $76.27 |
| HealthRisk Resource Group | All Commercial Plans | $78.77 |
| HealthSmart Preferred Care | All Commercial Plans | $84.39 |
| Multiplan/PHCS | All Plans | $87.78 |
| Pacific Health Alliance | PPO | $90.03 |
| Three Rivers Provider Network | All Commercial Plans | $90.03 |
Inpatient
$101cash price (self-pay)
$113list price
$16.99–$99.61range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | HMO/PPO | $19.02 |
| Optum Health Plan of California | HMO | $22.50 |
| Health Net | HMO/PPO | $28.58 |
| Health Net/Ambetter | HMO | $28.58 |
| Provider Network of America | PPO | $39.38 |
| Affiliated Health Funds | PPO | $61.89 |
| Blue Cross | HMO/PPO | $61.89 |
| HealthRisk Resource Group | All Commercial Plans | $78.77 |
| HealthSmart Preferred Care | All Commercial Plans | $84.39 |
| Multiplan/PHCS | All Plans | $87.78 |
| Pacific Health Alliance | PPO | $90.03 |
| Three Rivers Provider Network | All Commercial Plans | $90.03 |
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