Ketorolac injection, 15 mg at Ukiah Adventist Hospital. CPT J1885.
What Ukiah Adventist Hospital publishes for this service, straight from its standard-charges file, last updated May 24, 2026.
Outpatient / ER
$5.60cash price (self-pay)
$52.00list price
$0.30–$57.46range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $0.46 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $0.46 |
| UHC Mcr Adv | UHC Mcr Adv | $0.46 |
| Tricare Blue Shield-All Plans | Tricare Blue Shield-All Plans | $0.46 |
| Aetna-All Plans | Aetna-All Plans | $0.66 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $0.83 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $0.89 |
| UHC Jll Csp 1/1/25 | UHC Jll Csp 1/1/25 | $2.05 |
| Medi-Cal | Medi-Cal | $6.96 |
| Kaiser Medi-Cal | Kaiser Medi-Cal | $6.96 |
| Blue Shield Epn-All Other Plans | Blue Shield Epn-All Other Plans | $19.81 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $20.07 |
| Western Growers-All Plans | Western Growers-All Plans | $28.82 |
| Healthnet-All Plans | Healthnet-All Plans | $29.74 |
| Mendocino Lcc District-All Plans | Mendocino Lcc District-All Plans | $30.78 |
| Cigna-All Plans | Cigna-All Plans | $36.94 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $37.89 |
| Foundation For Medical Care-All Plans | Foundation For Medical Care-Al | $39.00 |
| Networks By Design-All Plans | Networks By Design-All Plans | $41.60 |
| Phcs Multiplan-All Plans | Phcs Multiplan-All Plans | $41.60 |
| Blue Cross Exchange | Blue Cross Exchange | $41.92 |
| Three Rivers-All Plans | Three Rivers-All Plans | $42.62 |
| Interplan-All Plans | Interplan-All Plans | $42.64 |
| Beech Street-All Plans | Beech Street-All Plans | $44.20 |
| Choice Care-All Plans | Choice Care-All Plans | $44.20 |
| Health Mgmt Network-All Plans | Health Mgmt Network-All Plans | $44.20 |
| Blue Cross Non-Mcs | Blue Cross Non-Mcs | $46.57 |
| Blue Cross Mcs-All Other Plans | Blue Cross Mcs-All Other Plans | $55.89 |
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