Ketorolac injection, 15 mg at MemorialCare Miller Children's & Women's Hospital. CPT J1885.
What MemorialCare Miller Children's & Women's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$0.20–$1.84range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | Medicare Managed Care Plan | $0.20 |
| Monarch Health Plan | Medicare Managed Care Plan | $0.29 |
| Caremore | Senior Medicare Managed Care Plan | $0.30 |
| Global Care Medical Group | Ancillary Hmo | $0.36 |
| Healthcare Partners | Senior/Dual Eligible Medicare Managed Care Plan | $0.38 |
| Aetna | Whole Health Hmo | $0.40 |
| Molina | Exchange | $0.49 |
| Aetna | Gatekeeper Hmo | $0.62 |
| Aetna | Non-Gatekeeper Ppo | $0.62 |
| Blue Cross | Anthem Hmo Exchange | $0.66 |
| Centivo | Ppo | $0.68 |
| Blue Cross | Anthem Vivity City Other Commercial Plan | $0.69 |
| Blue Cross | Anthem Vivity Non-City Other Commercial Plan | $0.78 |
| Healthcare Partners | All Commercial Plans | $0.78 |
| Monarch Health Plan | Other Commercial Plan | $0.80 |
| Blue Cross | Anthem Select Hmo Other Commercial Plan | $0.84 |
| Blue Cross | Select Ppo | $0.84 |
| Blue Cross | Anthem Non-Mcs Other Commercial Plan | $1.02 |
| Cigna | Select Hmo | $1.17 |
| Blue Cross | Anthem Mcs Other Commercial Plan | $1.23 |
| Blue Shield | Epn/Covered Ca Other Commercial Plan | $1.31 |
| Blue Shield | Hmo/Pos | $1.31 |
| Blue Shield | Ppo/Epo | $1.31 |
| Blue Shield | Tandem Other Commercial Plan | $1.31 |
| Blue Shield | Trio Other Commercial Plan | $1.31 |
| Cigna | Value Hmo | $1.33 |
| Cigna | All Commercial Plans | $1.84 |
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All common services at MemorialCare Miller Children's & Women's Hospital