Ketorolac injection, 15 mg at Dominican Hospital. CPT J1885.

What Dominican Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$11.70cash price (self-pay)

$26.00list price

$0.48–$23.02range insurers pay

Insurance plan	Negotiated rate
Blue Shield CA \| Medicare\|All Plans	$0.48
Health Net \| Medicare\|All Plans	$0.48
Kaiser \| Medicare\|All Plans	$0.48
United \| Medicare\|All Plans	$0.48
Blue Shield CA \| Commercial\|DHMF	$0.55
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
Cigna \| Commercial\|LocalPlus	$1.43
Sutter Health \| Commercial\|All Plans	$1.50
Cigna \| Commercial\|All Other Plans	$1.52
Blue Shield CA \| Commercial\|ACO Trio	$1.95
Blue Shield CA \| Commercial\|All Other Plans	$1.95
Blue Shield CA \| Commercial\|Exchange	$1.95
Aetna \| Commercial\|HMO	$2.58
Aetna \| Commercial\|PPO	$2.59
Health Net \| Commercial\|Community Care	$2.62
Health Net \| Commercial\|Care Product	$3.12
Health Net \| Commercial\|Blue Gold	$3.17
Health Net \| Commercial\|All Other Plans	$3.48
COSC Psych \| Medicaid\|All Plans	$4.96
Central California Alliance for Health \| Medicaid\|All Plans	$4.96
Health Net \| Medicaid\|< 21	$7.50
Health Net \| Medicaid\|> 21	$7.50
BCBS - Anthem \| Commercial\|All Other Plans	$16.48
Kaiser \| Commercial\|All Plans	$16.90
Western Growers \| Commercial\|All Plans	$17.68
Healthsmart \| Commercial\|All Plans	$20.80
First Health \| Commercial\|All Plans	$22.10

$11.70cash price (self-pay)

$26.00list price

$20.80–$22.10range insurers pay

Insurance plan	Negotiated rate
Healthsmart \| Commercial\|All Plans	$20.80
First Health \| Commercial\|All Plans	$22.10
Multiplan \| Commercial\|All Plans	$22.10

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