Ketorolac injection, 15 mg at Mercy Medical Center Mt. Shasta. CPT J1885.

What Mercy Medical Center Mt. Shasta publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$47.46cash price (self-pay)

$123list price

$4.96–$181range insurers pay

Insurance plan	Negotiated rate
Partnership Health Plan \| Medicaid\|All Plans	$4.96
BCBS - Anthem \| Medicaid\|All Plans	$6.90
California Health & Wellness \| Medicaid\|All Plans	$11.01
Aetna \| Medicare\|All Plans	$29.52
BCBS - Anthem \| Medicare\|All Plans	$29.52
Blue Shield CA \| Medicare\|All Plans	$29.52
Health Net \| Medicare\|All Plans	$29.52
Humana \| Medicare\|All Plans	$29.52
Kaiser \| Medicare\|All Plans	$29.52
United \| Medicare\|All Plans	$29.52
BCBS - Anthem \| Commercial\|Exchange	$78.72
BCBS - Anthem \| Commercial\|All Other Plans	$97.17
Cigna \| Commercial\|All Other Plans	$101
Cigna \| Commercial\|PPO	$101
United \| Commercial\|HMO	$106
Aetna \| Commercial\|All Other Plans	$107
Aetna \| Commercial\|HMO	$107
Aetna \| Commercial\|PPO	$107
United \| Commercial\|All Other Plans	$108
Health Net \| Commercial\|All Plans	$114
Coventry \| Commercial\|All Plans	$121
MultiPlan \| Commercial\|All Plans	$121

$47.46cash price (self-pay)

$123list price

$31.72–$181range insurers pay

Insurance plan	Negotiated rate
California Health & Wellness \| Medicaid\|All Plans	$63.96
Cigna \| Commercial\|All Other Plans	$101
Cigna \| Commercial\|PPO	$101
United \| Commercial\|HMO	$106
Aetna \| Commercial\|All Other Plans	$108
Aetna \| Commercial\|HMO	$108
Aetna \| Commercial\|PPO	$108
United \| Commercial\|All Other Plans	$108
Health Net \| Commercial\|All Plans	$114
Coventry \| Commercial\|All Plans	$121
MultiPlan \| Commercial\|All Plans	$121

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