Ketorolac injection, 15 mg at Tri-City Medical Center. CPT J1885.
What Tri-City Medical Center publishes for this service, straight from its standard-charges file, last updated May 29, 2026.
Outpatient / ER
$15.00cash price (self-pay)
$25.00list price
$0.38–$37.88range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | Auto Medical | $0.38 |
| Aetna | Medicare Advantage | $0.43 |
| Anthem | Medicare Advantage | $0.43 |
| Blue Shield of California | Medicare Advantage | $0.43 |
| Central Health Plan | Medicare Advantage | $0.43 |
| Community Health Group | Medicare Advantage | $0.43 |
| Health Net | Medicare Advantage | $0.43 |
| Humana | Medicare Advantage | $0.43 |
| Imperial Health Plan of California | Medicare Advantage | $0.43 |
| Kaiser Permanente | HMO | $0.43 |
| Kaiser Permanente | Medicare Advantage | $0.43 |
| Managed Health Network | Medicare Advantage | $0.43 |
| Molina Healthcare | Medicare Advantage | $0.43 |
| UnitedHealthcare | Medicare Advantage | $0.43 |
| Astiva Health | Medicare Advantage | $0.47 |
| Clever Care of California | Medicare Advantage | $0.47 |
| Prospect Health Plan | Medicare Advantage | $0.47 |
| Molina Healthcare | Covered California PPO | $0.58 |
| Providence Health Plan | Covered California | $0.60 |
| Health Net | Bronze Network (SmartCare) | $0.61 |
| Sharp Health Plan | HMO | $0.62 |
| Sharp Health Plan | PPO | $0.65 |
| Health Net | Blue and Gold | $0.68 |
| Bright Health | Commercial/Covered California | $0.69 |
| Aetna | Commercial | $0.86 |
| Health Net | Medi-Cal, Healthy Families Healthy Kids | $4.81 |
| UnitedHealthcare | Select/Select Plus | $10.51 |
| Blue Shield of California | Commercial | $11.50 |
| UnitedHealthcare | Commercial | $11.51 |
| Cigna | HMO | $12.50 |
Inpatient
$15.00cash price (self-pay)
$25.00list price
$8.38–$42.16range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthcare | Select/Select Plus | $8.38 |
| UnitedHealthcare | Commercial | $9.18 |
| Blue Shield of California | Commercial | $12.50 |
| Cigna | HMO | $12.50 |
| Cigna | PPO | $14.43 |
| Multiplan | PPO | $17.50 |
| Health Net | Commercial/Covered California PPO | $19.48 |
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