Ketorolac injection, 15 mg at Mercy Hospital of Folsom. CPT J1885.

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

Outpatient / ER

$19.45cash price (self-pay)

$78.00list price

$0.39–$86.92range insurers pay

Insurance plan	Negotiated rate
Hill Physicians \| Medicare\|All Plans	$0.39
BCBS - Anthem \| Medicare\|All Other Plans	$0.42
Humana \| Commercial\|All Plans	$0.45
Aetna \| Medicare\|All Plans	$0.45
Blue Shield CA \| Medicare\|HMO	$0.45
Blue Shield CA \| Medicare\|PPO	$0.45
Kaiser \| Medicare\|All Plans	$0.45
BCBS - Anthem \| Medicare\|Imperial	$0.46
Hill Physicians \| Commercial\|All Plans	$0.53
Health Net \| Commercial\|EPPO	$0.90
United \| Commercial\|Non-Options PPO	$0.91
Aetna \| Commercial\|All Other Plans	$1.08
Aetna \| Commercial\|HMO	$1.08
Aetna \| Commercial\|PPO	$1.08
Cigna \| Commercial\|LocalPlus	$1.16
United \| Commercial\|All Other Plans	$1.24
United \| Commercial\|HMO	$1.24
Western Health Advantage \| Commercial\|All Plans	$1.48
Blue Shield CA \| Commercial\|ACO Trio	$1.53
Blue Shield CA \| Commercial\|ACO Trio CalPers	$1.53
Blue Shield CA \| Commercial\|All Other Plans	$1.53
Blue Shield CA \| Commercial\|CalPers	$1.53
Blue Shield CA \| Commercial\|Exchange	$1.53
Blue Shield CA \| Commercial\|HMO	$1.53
Blue Shield CA \| Commercial\|PPO Tandem	$1.53
Cigna \| Commercial\|All Other Plans	$1.55
Health Net \| Commercial\|FFS	$1.69
United \| Medicaid\|< 21	$4.96
United \| Medicaid\|> 21	$4.96
WCMG \| Commercial\|All Plans	$8.58

$19.45cash price (self-pay)

$78.00list price

$5.50–$86.92range insurers pay

Insurance plan	Negotiated rate
WCMG \| Commercial\|All Plans	$8.58
First Health \| Commercial\|All Plans	$58.50
Healthsmart \| Commercial\|All Plans	$58.50
Sutter Health \| Commercial\|All Plans	$62.40
MultiPlan \| Commercial\|All Plans	$63.96

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