Ketorolac injection, 15 mg at Sierra Nevada Memorial Hospital. CPT J1885.
What Sierra Nevada Memorial Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$35.43cash price (self-pay)
$79.00list price
$0.37–$91.14range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hill Physicians | Commercial|All Plans | $0.37 |
| Humana | Commercial|All Plans | $0.45 |
| Aetna | Medicare|All Plans | $0.45 |
| BCBS - Anthem | Medicare|All Plans | $0.45 |
| Blue Shield CA | Medicare|All Plans | $0.45 |
| Health Net | Medicare|All Plans | $0.45 |
| Humana | Medicare|All Plans | $0.45 |
| Kaiser | Medicare|All Plans | $0.45 |
| United | Medicare|All Plans | $0.45 |
| Aetna | Commercial|All Other Plans | $1.08 |
| Aetna | Commercial|HMO | $1.08 |
| Aetna | Commercial|PPO | $1.08 |
| United | Commercial|All Other Plans | $1.24 |
| United | Commercial|HMO | $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 |
| Health Net | Commercial|FFS | $5.47 |
| BCBS - Anthem | Medicaid|All Plans | $6.95 |
| California Health & Wellness | Medicaid|All Plans | $11.21 |
| Health Net | Medicaid|All Plans | $11.21 |
| BCBS - Anthem | Commercial|Exchange | $20.22 |
| BCBS - Anthem | Commercial|All Other Plans | $23.24 |
| BCBS - Anthem | Commercial|MCS | $29.03 |
| United | Commercial|Non-Options PPO | $38.71 |
| Kaiser | Commercial|All Plans | $60.83 |
| Cigna | Commercial|All Other Plans | $68.73 |
| Cigna | Commercial|PPO | $68.73 |
| First Health | Commercial|All Plans | $75.05 |
| Healthsmart | Commercial|All Plans | $77.42 |
Inpatient
$35.43cash price (self-pay)
$79.00list price
$50.05–$91.14range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial|All Plans | $60.83 |
| Cigna | Commercial|All Other Plans | $68.73 |
| Cigna | Commercial|PPO | $68.73 |
| First Health | Commercial|All Plans | $75.05 |
| Healthsmart | Commercial|All Plans | $77.42 |
| MultiPlan | Commercial|All Plans | $77.42 |
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