Ketorolac injection, 15 mg at St Helena Hospital. CPT J1885.
What St Helena Hospital publishes for this service, straight from its standard-charges file, last updated July 15, 2026.
Outpatient / ER
$5.55cash price (self-pay)
$54.51list price
$0.37–$104range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $0.37 |
| Tricare Blue Shield | Tricare Blue Shield | $0.37 |
| UHC Mcr Adv | UHC Mcr Adv | $0.37 |
| Blue Shield Bh Mcr Adv | Blue Shield Bh Mcr Adv | $0.37 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $0.37 |
| Va Mcr - All Other Plans | Va Mcr - All Other Plans | $0.37 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $0.67 |
| Aetna-All Plans | Aetna-All Plans | $0.73 |
| Umr UHC PPO | Umr UHC PPO | $0.81 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $0.89 |
| UHC Jll | UHC Jll | $0.89 |
| UHC Options PPO | UHC Options PPO | $0.89 |
| UHC Select/Select Plus | UHC Select/Select Plus | $0.89 |
| Va Medi-Cal | Va Medi-Cal | $6.96 |
| Blue Cross Exchange | Blue Cross Exchange | $18.66 |
| Blue Cross Non Mcs | Blue Cross Non Mcs | $20.73 |
| Blue Shield Behav Hlth | Blue Shield Behav Hlth | $24.53 |
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $24.88 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $25.29 |
| Blue Shield Epn-All Other Plans | Blue Shield Epn-All Other Plans | $25.68 |
| Phcs-All Plans | Phcs-All Plans | $29.98 |
| Western Growers-All Plans | Western Growers-All Plans | $31.62 |
| Interplan-All Plans | Interplan-All Plans | $32.71 |
| Healthnet-All Plans | Healthnet-All Plans | $33.42 |
| Choicecare-All Plans | Choicecare-All Plans | $38.16 |
| Beech Street-All Plans | Beech Street-All Plans | $40.89 |
| Cigna-All Other Plans | Cigna-All Other Plans | $43.61 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $44.70 |
| Health Management Network-All Plans | Health Management Network-All Pl | $46.34 |
| Three Rivers-All Plans | Three Rivers-All Plans | $49.06 |
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