Ketorolac injection, 15 mg at BayCare Alliant Hospital. CPT J1885.
What BayCare Alliant Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$3.88cash price (self-pay)
$11.74list price
$3.23–$13.83range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Evolutions | Commercial Prime Network Products | $5.87 |
| United Healthcare | Indemnity | $7.63 |
| Evolutions | Commercial PPO International | $8.22 |
| Evolutions | Commercial PPO Select Network | $9.98 |
| First Health | Commercial PPO | $9.98 |
| Multiplan | Commercial PPO | $10.57 |
| Evolutions | Commercial PPO Choice | $10.92 |
| Blue Cross | Commercial HMO Health Options | $11.74 |
| Blue Cross | Commercial HMO My Blue | $11.74 |
| Blue Cross | Commercial HMO Simply Blue | $11.74 |
| Blue Cross | Commercial PPO Blue Select | $11.74 |
| Blue Cross | Commercial PPO Network Blue | $11.74 |
| Blue Cross | Commercial PPO PHS | $11.74 |
Inpatient
$3.88cash price (self-pay)
$11.74list price
$4.20–$13.83range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial PPO | $7.63 |
| United Healthcare | Indemnity | $7.63 |
| AvMed | Commercial Other | $8.10 |
| Evolutions | Commercial PPO International | $8.22 |
| AvMed | Commercial | $8.45 |
| Evolutions | Commercial PPO Select Network | $9.98 |
| First Health | Commercial PPO | $9.98 |
| Multiplan | Commercial PPO | $10.57 |
| Evolutions | Commercial PPO Choice | $10.92 |
| Cigna | Commercial PPO | $11.74 |
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