Ketorolac injection, 15 mg at White Memorial Medical Center. CPT J1885.
What White Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated May 23, 2026.
Outpatient / ER
$9.96cash price (self-pay)
$55.33list price
$0.36–$135range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Access Group | Access Group | $0.36 |
| Ahp - All Other Plans | Ahp - All Other Plans | $0.36 |
| Lasalle Mg Commercial - All Other Plans | Lasalle Mg Commercial - All | $0.36 |
| Access Senior - All Other Plans | Access Senior - All Other Plans | $0.43 |
| Ahp Senior | Ahp Senior | $0.43 |
| Bs Va Mcare | Bs Va Mcare | $0.43 |
| Clever Care - All Plans | Clever Care - All Plans | $0.43 |
| Healthcare Inc Medicare | Healthcare Inc Medicare | $0.43 |
| Molina Mcare | Molina Mcare | $0.43 |
| Pacific Alliance Mcare - All Other Plans | Pacific Alliance Mcare - Al | $0.43 |
| Preferred Senior | Preferred Senior | $0.43 |
| Preferred Commercial - All Other Plans | Preferred Commercial - All Ot | $0.52 |
| Molina Benefit Exchange - All Other Plans | Molina Benefit Exchange - | $0.58 |
| Php-Prospect Health Plan Cap - All Plans | Php-Prospect Health Plan CA | $0.64 |
| Centivo - All Plans | Centivo - All Plans | $0.97 |
| Bc Medi-Cal | Bc Medi-Cal | $6.87 |
| Ahp Medi-Cal | Ahp Medi-Cal | $6.96 |
| Bella Vista Medi-Cal Op/Profee Only | Bella Vista Medi-Cal Op/Profee O | $6.96 |
| Molina Medi-Cal | Molina Medi-Cal | $6.96 |
| Preferred Medi-Cal | Preferred Medi-Cal | $6.96 |
| Altamed Medi-Cal - All Other Plans | Altamed Medi-Cal - All Other Plan | $8.00 |
| Healthnet Mcal | Healthnet Mcal | $8.29 |
| Preferred Healthy | Preferred Healthy | $8.70 |
| Assoc Hispanic Physcns Mcal | Assoc Hispanic Physcns Mcal | $9.74 |
| Blue Shield Medi-Cal | Blue Shield Medi-Cal | $12.73 |
| Blue Shield Epn | Blue Shield Epn | $13.17 |
| Blue Shield - All Other Plans | Blue Shield - All Other Plans | $15.33 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $16.60 |
| Blue Cross Non Mcs | Blue Cross Non Mcs | $20.95 |
| Pacific Ipa - All Other Plans | Pacific Ipa - All Other Plans | $21.03 |
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