Ketorolac injection, 15 mg at St. Mary's Medical Center. CPT J1885.
What St. Mary's Medical Center publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$15.57list price
$0.30–$50.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS/Anthem | BCBS Co Pathway | $5.42 |
| BCBS/Anthem | BCBS Co Exchange Plan | $5.90 |
| BCBS/Anthem | BCBS Co Federal | $5.90 |
| BCBS/Anthem | BCBS Co HMO | $5.90 |
| BCBS/Anthem | BCBS Co Indemnity | $5.90 |
| BCBS/Anthem | BCBS Co PPO | $5.90 |
| Monument Health | UHC Rocky Monument Exchange HMO | $7.80 |
| Monument Health | UHC Rocky Monument Exchange HMO HDHP | $7.80 |
| Monument Health | UHC Rocky Monument Ind HMO | $7.80 |
| Monument Health | UHC Rocky Monument Ind HMO HDHP | $7.80 |
| Cigna | Cigna Local Plus | $9.61 |
| Cigna | Cigna HMO | $10.69 |
| Cigna | Cigna Indemnity | $10.69 |
| Cigna | Cigna Other | $10.69 |
| Cigna | Cigna POS/Qpos | $10.69 |
| Cigna | Cigna PPO | $10.69 |
| Cigna | Eighth Dist Elect Ben Pln | $10.69 |
| Cigna | Health-Partners | $10.69 |
| Allegiance | Cigna Sclhs Employees | $11.14 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $11.14 |
| Aetna | Aetna Colorado Preferred | $11.74 |
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $12.64 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $12.64 |
| Aetna | Aetna HMO/EPO | $13.03 |
| Aetna | Aetna Indemnity | $13.03 |
| Aetna | Aetna POS/Qpos | $13.03 |
| Aetna | Aetna PPO | $13.03 |
| Aetna | Aetna Src | $13.03 |
| Geha | Geha-Asa | $13.03 |
| Meritain Health | Meritain Health | $13.03 |
Inpatient
—cash price (self-pay)
$15.57list price
$3.16–$31.47range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Rocky Mountain HMO | $6.24 |
| Umr United Med Resources | Umr Mesa Cnty Valley School Dist 51 | $7.47 |
| Monument Health | UHC Rocky Monument Exchange HMO | $7.80 |
| Monument Health | UHC Rocky Monument Exchange HMO HDHP | $7.80 |
| Monument Health | UHC Rocky Monument Ind HMO | $7.80 |
| Monument Health | UHC Rocky Monument Ind HMO HDHP | $7.80 |
| Monument Health | Umr Monument Health Network | $7.80 |
| Cigna | Cigna Local Plus | $9.61 |
| Cigna | Cigna HMO | $10.69 |
| Cigna | Cigna Indemnity | $10.69 |
| Cigna | Cigna Other | $10.69 |
| Cigna | Cigna POS/Qpos | $10.69 |
| Cigna | Cigna PPO | $10.69 |
| Cigna | Eighth Dist Elect Ben Pln | $10.69 |
| Cigna | Health-Partners | $10.69 |
| Allegiance | Cigna Sclhs Employees | $11.14 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $11.14 |
| Aetna | Aetna Colorado Preferred | $11.74 |
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $12.64 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $12.64 |
| Aetna | Aetna HMO/EPO | $13.03 |
| Aetna | Aetna Indemnity | $13.03 |
| Aetna | Aetna POS/Qpos | $13.03 |
| Aetna | Aetna PPO | $13.03 |
| Aetna | Aetna Src | $13.03 |
| Geha | Geha-Asa | $13.03 |
| Meritain Health | Meritain Health | $13.03 |
| Choicecare Humana | Choicecare Humana HMO EPO | $13.70 |
| Choicecare Humana | Choicecare Humana PPO | $13.70 |
| Choicecare Humana | Choicecare Humana Secondary Other | $13.70 |
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