Ketorolac injection, 15 mg at Sequoia Hospital. CPT J1885.
What Sequoia Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$9.47cash price (self-pay)
$26.00list price
$0.39–$26.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Brown Toland | Medicare|All Plans | $0.39 |
| Health Net | Commercial|Canopy Health | $0.51 |
| Humana | Commercial|All Plans | $0.51 |
| Aetna | Medicare|All Plans | $0.51 |
| BCBS - Anthem | Medicare|All Plans | $0.51 |
| Blue Shield CA | Medicare|All Plans | $0.51 |
| Chinese Community | Medicare|All Plans | $0.51 |
| Health Net | Medicare|All Plans | $0.51 |
| Health Plan San Mateo | Medicare|All Plans | $0.51 |
| Humana | Medicare|All Plans | $0.51 |
| Kaiser | Medicare|All Plans | $0.51 |
| United | Medicare|All Plans | $0.51 |
| Brown Toland | Commercial|All Plans | $0.56 |
| United | Commercial|All Other Plans | $1.24 |
| United | Commercial|HMO | $1.24 |
| United | Commercial|Options PPO | $1.24 |
| Blue Shield CA | Commercial|ACO Trio | $1.53 |
| Blue Shield CA | Commercial|All Other Plans | $1.53 |
| Blue Shield CA | Commercial|Exchange | $1.53 |
| Sutter Health | Commercial|All Plans | $1.60 |
| Health Net | Commercial|Care Product | $2.77 |
| Aetna | Commercial|All Plans | $2.95 |
| Health Net | Commercial|FFS | $3.21 |
| BCBS - Anthem | Medicaid|< 21 | $4.96 |
| BCBS - Anthem | Medicaid|> 21 | $4.96 |
| Kaiser | Medicaid|< 21 | $4.96 |
| Kaiser | Medicaid|> 21 | $4.96 |
| Partnership Health Plan | Medicaid|< 21 | $4.96 |
| Partnership Health Plan | Medicaid|> 21 | $4.96 |
| Health Plan San Mateo | Medicaid|< 21 | $6.10 |
Inpatient
$9.47cash price (self-pay)
$26.00list price
$5.72–$21.32range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan San Mateo | Medicaid|< 21 | $5.72 |
| Health Plan San Mateo | Medicaid|> 21 | $5.72 |
| Sutter Health | Commercial|All Plans | $6.50 |
| Connected Care | Commercial|Intel | $11.18 |
| Healthsmart | Commercial|All Plans | $17.68 |
| Kaiser | Commercial|All Plans | $20.02 |
| Multiplan | Commercial|All Plans | $21.32 |
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