Ketorolac injection, 15 mg at Mercy San Juan Medical Center. CPT J1885.

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

Outpatient / ER

$13.70cash price (self-pay)

$78.00list price

$0.42–$87.98range insurers pay

Insurance plan	Negotiated rate
Humana \| Commercial\|All Plans	$0.45
Aetna \| Medicare\|All Plans	$0.45
BrightHealth \| Commercial\|All Plans	$0.49
Hill Physicians \| Commercial\|All Plans	$0.53
Prison Healthcare \| Medicaid\|All Plans	$0.68
United \| Commercial\|Non-Options PPO	$0.91
Aetna \| Commercial\|All Other Plans	$1.07
Aetna \| Commercial\|HMO	$1.07
Aetna \| Commercial\|PPO	$1.07
Cigna \| Commercial\|LocalPlus	$1.16
United \| Commercial\|All Other Plans	$1.24
United \| Commercial\|HMO	$1.24
United \| Commercial\|Options PPO	$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\|CalPers	$1.53
Blue Shield CA \| Commercial\|Exchange	$1.53
Blue Shield CA \| Commercial\|HMO	$1.53
Blue Shield CA \| Commercial\|PPO	$1.53
Blue Shield CA \| Commercial\|PPO Tandem	$1.53
Cigna \| Commercial\|All Other Plans	$1.55
Health Net \| Commercial\|EPPO	$2.26
Health Net \| Commercial\|FFS	$4.04
Partnership Health Plan \| Medicaid\|All Plans	$4.96
Hill Physicians \| Medicaid\|All Plans	$5.46
WCMG \| Commercial\|All Plans	$8.58
Molina \| Medicaid\|All Plans	$9.32
BCBS - Anthem \| Medicaid\|All Plans	$9.63
California Health & Wellness \| Medicaid\|All Plans	$11.36

$13.70cash price (self-pay)

$78.00list price

$5.50–$87.98range 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	$64.74

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