Ketorolac injection, 15 mg at Providence Little Co of Mary Med Center San Pedro. CPT J1885.
What Providence Little Co of Mary Med Center San Pedro publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$32.66cash price (self-pay)
$93.67list price
$0.34–$38.30range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $0.34 |
| Humana | Medicare Managed Care Plan | $0.35 |
| Caremore | Medicare Managed Care Plan | $0.38 |
| La Care Health Plan | Covered Ca Exchange | $0.44 |
| Healthnet | Ambetter Hmo | $0.63 |
| Healthnet | Ambetter Ppo | $0.73 |
| Aetna | All Commercial Plans | $1.00 |
| Cigna | Oa/Oap Hmo/Pos | $1.00 |
| Cigna | Ppo | $1.00 |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1.06 |
| Unitedhealthcare | All Commercial Plans | $1.08 |
| Unitedhealthcare | Select/Navigate Hmo | $1.08 |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1.20 |
| Blue Shield | Medicare Managed Care Plan | $1.30 |
| Blue Shield | Epn/Ifp Benefit Exchange | $1.45 |
| Blue Shield | Hmo | $1.45 |
| Blue Shield | Ppo/Epo | $1.45 |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1.45 |
| Blue Cross | All Commercial Plans | $38.30 |
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All common services at Providence Little Co of Mary Med Center San Pedro