Ketorolac injection, 15 mg at St. Mary Medical Center. CPT J1885.

What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$11.18cash price (self-pay)

$32.50list price

$0.44–$39.00range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicare\|All Plans	$0.44
Blue Shield CA \| Medicare\|All Other Plans	$0.44
HCLA \| Commercial\|Preferred IPA	$0.55
LA Care \| Commercial\|All Plans	$0.55
Blue Shield CA \| Medicare\|Trauma	$0.55
United \| Commercial\|Non-Options PPO	$0.91
Health Net \| Commercial\|EPPO	$0.97
Aetna \| Commercial\|All Other Plans	$1.04
Aetna \| Commercial\|HMO	$1.04
Aetna \| Commercial\|PPO	$1.04
Health Net \| Commercial\|Care Product	$1.17
United \| Commercial\|All Other Plans	$1.24
United \| Commercial\|HMO	$1.24
United \| Commercial\|Options PPO	$1.24
Health Net \| Commercial\|All Other Plans	$1.33
Blue Shield CA \| Commercial\|All Other Plans	$1.53
Blue Shield CA \| Commercial\|Exchange	$1.53
Noble IPA \| Medicaid\|< 21	$4.46
Noble IPA \| Medicaid\|> 21	$4.46
Angeles IPA \| Medicare\|All Plans	$4.95
HCLA \| Medicaid\|Preferred IPA < 21	$4.96
HCLA \| Medicaid\|Preferred IPA > 21	$4.96
Preferred IPA \| Medicaid\|Risk	$4.96
BCBS - Anthem \| Medicaid\|All Plans	$5.07
Health Net \| Medicaid\|< 21	$6.61
Health Net \| Medicaid\|> 21	$6.61
Molina \| Medicaid\|All Plans	$6.94
DHR \| Medicaid\|< 21	$8.12
DHR \| Medicaid\|> 21	$8.12
Cigna \| Commercial\|All Other Plans	$14.95

$11.18cash price (self-pay)

$32.50list price

$5.20–$39.00range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicaid\|All Plans	$6.50
HCLA \| Medicaid\|Preferred IPA < 21	$9.75
HCLA \| Medicaid\|Preferred IPA > 21	$9.75
Kaiser \| Commercial\|All Plans	$22.75
MultiPlan \| Commercial\|All Plans	$26.00
SMIPA \| Medicare\|All Plans	$32.50

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