Ketorolac injection, 15 mg at Mountains Community Hospital. CPT J1885.
What Mountains Community Hospital publishes for this service, straight from its standard-charges file, last updated January 14, 2026.
Outpatient / ER
$8.70cash price (self-pay)
$26.13list price
$1.28–$25.93range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield | HMO/POS/PPO | $1.28 |
| Blue Shield | Covered California | $1.41 |
| Kaiser | Med Adv | $4.95 |
| Molina | Med Adv | $11.76 |
| Aetna | Med Adv | $12.54 |
| Blue Cross | All Products | $13.19 |
| Kaiser | All Products | $16.73 |
| Aetna | All Products | $18.29 |
| Cigna | All Products | $18.29 |
| Ccn | All Products | $19.60 |
| Usa | All Products | $19.60 |
| Healthnet | All Products | $21.05 |
| Phcs | All Products | $22.21 |
Inpatient
$8.70cash price (self-pay)
$26.13list price
—range insurers pay
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