Ketorolac injection, 15 mg at Sonora Community Hospital. CPT J1885.
What Sonora Community Hospital publishes for this service, straight from its standard-charges file, last updated May 23, 2026.
Outpatient / ER
$4.76cash price (self-pay)
$71.00list price
$0.30–$95.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Mcr Adv | Aetna Mcr Adv | $0.46 |
| Blue Shield Mcare | Blue Shield Mcare | $0.46 |
| Healthnet Mcr Adv | Healthnet Mcr Adv | $0.46 |
| Phs Prime Health Srvcs-All Plans | Phs Prime Health Srvcs-All Plans | $0.46 |
| Tricare Blue Shield - All Plans | Tricare Blue Shield - All Plans | $0.46 |
| UHC Mcr Adv | UHC Mcr Adv | $0.46 |
| Aetna - All Other Plans | Aetna - All Other Plans | $0.73 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $0.83 |
| Bc Mcal | Bc Mcal | $4.76 |
| Medi-Cal | Medi-Cal | $6.96 |
| Central CA Alliance Comm Profee Only-All Other Pla | Central CA Allian | $7.14 |
| Central CA Alliance Ccs Mcal | Central CA Alliance Ccs Mcal | $7.88 |
| Central CA Alliance Chdp Mcal | Central CA Alliance Chdp Mcal | $7.88 |
| Central CA Alliance Mcal | Central CA Alliance Mcal | $7.88 |
| Celtic CA Hlth Well Mcal - All Plans | Celtic CA Hlth Well Mcal - All | $9.59 |
| Healthnet Mcal | Healthnet Mcal | $10.36 |
| Bc Exchange | Bc Exchange | $17.84 |
| Bc Non-Mcs - All Other Plans | Bc Non-Mcs - All Other Plans | $19.82 |
| Bc Mcs | Bc Mcs | $23.79 |
| Kaiser - All Plans | Kaiser - All Plans | $35.50 |
| UHC Select | UHC Select | $36.48 |
| UHC Jll Bp | UHC Jll Bp | $39.38 |
| UHC - All Other Plans | UHC - All Other Plans | $41.46 |
| Western Growers/Pinnacle - All Plans | Western Growers/Pinnacle - All | $51.12 |
| Blue Shield Epn | Blue Shield Epn | $53.82 |
| Blue Shield - All Other Plans | Blue Shield - All Other Plans | $53.96 |
| Trpn - Three Rivers PPO - All Plans | Trpn - Three Rivers PPO - All Pl | $56.80 |
| Beech Street- All Plans | Beech Street- All Plans | $60.35 |
| Greatwest Oa/POS/HMO | Greatwest Oa/POS/HMO | $60.35 |
| UHC PPO | UHC PPO | $61.05 |
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