Ketorolac injection, 15 mg at Hca Florida Fort Walton-destin Hospital. CPT J1885.
What Hca Florida Fort Walton-destin Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$29.00cash price (self-pay)
$29.00list price
$0.33–$29.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | TRICARE | $0.33 |
| United | AllPayerAppendix | $1.02 |
| BCBS | Bsl | $3.19 |
| BCBS | Mbn | $3.19 |
| BCBS | Sbn | $3.19 |
| BCBS | Nwb | $4.32 |
| BCBS | PPO | $4.32 |
| BCBS | HMO | $4.38 |
| Simply | MGMCR | $4.47 |
| United | OptionsPPO | $5.97 |
| BCBS | Phs | $7.51 |
| Aetna | ASA | $8.70 |
| Molina Healthcare | HIX | $9.28 |
| United | GlobalBenefitPlan | $13.05 |
| AvMed | HIXOON | $14.50 |
| Plotkin Health | COMM | $14.50 |
| Prime Health Sheriff | COMM | $14.50 |
| Prime Health Sheriff | WORKERSCOMP | $14.50 |
| Evolutions Healthcare | MANAGEDCAREPPO | $18.85 |
| Naphcare | Prison | $18.85 |
| Multiplan | Primary | $22.62 |
| Evernorth | BHCOMM | $23.20 |
| Multiplan | Complementary | $24.65 |
| PPO Next | COMM | $24.65 |
| PPO Next | PPO | $24.65 |
| Evolutions Healthcare | TRADITIONALPPO | $26.10 |
| NovaNet | COMM | $26.10 |
| Beacon Health Options | MCR | $29.00 |
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All common services at Hca Florida Fort Walton-destin Hospital