Ketorolac injection, 15 mg at Holy Cross Hospital. CPT J1885.
What Holy Cross Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3.18cash price (self-pay)
$10.37list price
$0.29–$776range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna Surefit | $2.05 |
| First Health | First Health International | $3.27 |
| Phcs | Phcs | $3.43 |
| Upmc Health Plan | Cigna HMO/PPO | $3.85 |
| Bridge Health | Bridge Health Medical | $4.10 |
| First Health | First Health | $4.81 |
| Sanus Healthcare | Sanus Health Maintenance Administrators | $4.92 |
| Global Benefits Group | Global Benefits Plan | $4.92 |
| Sunmed International | Sunmed International | $5.08 |
| Wc Broward County | Workers Comp | $5.84 |
| National Healthcare Solutions | International | $6.90 |
| Global Health Claim Services | International | $6.90 |
| Ww Concierge Healthcare Service | International | $6.90 |
| Axa Assistance Us | International | $6.90 |
| Desjardins Financial Security Life Assurance | International | $6.90 |
| Allianz Global Assistance | International | $6.90 |
| Olympus Managed Health Care | International | $6.90 |
| Penfield Care | International | $6.90 |
| Axis Services | International | $6.90 |
| Multiplan | Dimension Health Multiplan | $7.21 |
| General Electric | General Electric | $8.20 |
| Hospice Vitas | Vitas Healthcare Hospice | $8.20 |
| Sunbelt International | Sunbelt International | $8.20 |
| Multiplan | Beech Street | $10.12 |
| Blue Cross - FL | BCBS Network Blue | $529 |
| Blue Cross - Federal | BCBS Ppc | $763 |
| BCBS Generic | BCBS Ppc | $763 |
| Blue Cross - Wy | BCBS Ppc | $763 |
| Blue Cross - CA (Anthem) | BCBS Ppc | $763 |
| Blue Cross - Ks | BCBS Ppc | $763 |
Inpatient
$25.80cash price (self-pay)
$25.80list price
$1.15–$25.80range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicare Advantage | Humana Medicare Advantage | $1.31 |
| Molina Medicare Advantage | Medicare | $1.31 |
| Rx Allwin | Medicare | $1.31 |
| Blue Cross - In (Anthem) Medicare Advantage | Medicare | $1.31 |
| Medical Mutual Medicare | Medicare | $1.31 |
| Caresource Medicare | Medicare | $1.31 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Medicare | $1.31 |
| Johns Hopkins Advantage Md | Medicare | $1.31 |
| Blue Cross - Tn Medicare Advantage | Medicare | $1.31 |
| Medipak Advantage | Medicare | $1.31 |
| Blue Cross - FL Medicare Advantage | BCBS Medicare Advantage | $1.31 |
| Reliance Community Care Partners Care Resources Pace | Medicare | $1.31 |
| Genesys Pace Of Genesee County | Medicare | $1.31 |
| Commonwealth Care Alliance | Medicare | $1.31 |
| Rx Carelonrx Medicare | Medicare | $1.31 |
| Blue Cross - MA Medicare Advantage | Medicare | $1.31 |
| Blue Cross - Ms Medicare Advantage | Medicare | $1.31 |
| Elementcare | Medicare | $1.31 |
| Blue Cross - Ri Medicare Advantage | Medicare | $1.31 |
| Care Dimensions | Medicare | $1.31 |
| Mi Healthlink Medicare | Medicare | $1.31 |
| Medicare | Medicare | $1.31 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $1.31 |
| Blue Cross - Mn Medicare Advantage | Medicare | $1.31 |
| Blue Cross - IL Medicare Advantage | Medicare | $1.31 |
| Blue Cross - Wi (Anthem) Medicare Advantage | Medicare | $1.31 |
| Phoenix Medicare Advantage | Medicare | $1.31 |
| Rx Retiree Rx Care | Medicare | $1.31 |
| Rx Grane Grnmedd | Medicare | $1.31 |
| Community Pace At Home | Medicare | $1.31 |
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