Ketorolac injection, 15 mg at Physicians Surgical Hospitals. CPT J1885.
What Physicians Surgical Hospitals publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$39.66cash price (self-pay)
$79.32list price
$0.35–$67.42range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicaid [1165] | BCBS Medicaid [116504] | $3.88 |
| First Care Medicaid [1372] | Firstcare Chip [137202] | $3.99 |
| First Care Medicaid [1372] | Firstcare Star Medicaid [137201] | $12.09 |
| First Care Commercial [1371] | Firstcare HMO [137103] | $24.59 |
| Insurance Management Services (Ims) [1540] | Ims Bsa Employees [154001 | $27.76 |
| Healthscope Benefits [2290] | Healthscope Benefits [229000] | $30.93 |
| Umr [2035] | Umr Oon Potter Co [203506] | $30.93 |
| Texas Childrens Health Plan [3995] | Texas Childrens Health Plan [3995 | $30.93 |
| Cigna Medicaid Replacement [3945] | Cigna Healthspring Medicaid Replac | $30.93 |
| Fidelis Care Of NY Medicaid Replacement [3865] | Fidelis Care Of NY Me | $30.93 |
| Oncology Patient Assistance Programs [2295] | Bccs Family Circle Of CA | $30.93 |
| Insurance Management Services (Ims) [1540] | Ims Randall County [15400 | $33.31 |
| Umr [2035] | Umr Core [203505] | $33.95 |
| Insurance Management Services (Ims) [1540] | Ims In Network [154002] | $35.69 |
| Maxor Insurance [1610] | Maxor Insurance [161000] | $37.28 |
| Group Pension Admin [1450] | Gpa Imagine Health [145009] | $39.66 |
| American Healthcare [1055] | American Healthcare [105500] | $39.66 |
| Texas Rehab [1965] | Ssa [196500] | $45.21 |
| Nreca [1735] | Nreca [173500] | $48.62 |
| United Healthcare [2060] | United Healthcare Student Svc [206012] | $48.62 |
| Umr [2035] | Umr Choice [203500] | $48.62 |
| Aetna [1015] | Aetna Client Specific [101506] | $51.56 |
| Mega Life And Health [1650] | Mega Life Heatlh [165001] | $55.52 |
| Medishare Christian Care [1645] | Medishare Christian Care [164500] | $55.52 |
| Federated Mutual [1365] | Federated Mutual [136500] | $55.52 |
| Americas Choice Health Plans [1090] | Americas Choice Health Plans [10 | $55.52 |
| Assurant Health [1105] | Assurant Health [110501] | $55.52 |
| Healthpartners [1500] | Healthpartners [150000] | $57.59 |
| Cigna [1260] | Cigna [126008] | $57.59 |
| Umr [2035] | Umr Options [203501] | $57.67 |
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