Ketorolac injection, 15 mg at The Queen's Medical Center West O'ahu. CPT J1885.
What The Queen's Medical Center West O'ahu publishes for this service, straight from its standard-charges file, last updated March 11, 2026.
Outpatient / ER
$0.95cash price (self-pay)
$8.00list price
$0.39–$1.09range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AlohaCare | Medicare | $0.39 |
| HMSA | Medicare | $0.39 |
| Kaiser | Medicare Advantage | $0.39 |
| Ohana Care | Medicare | $0.39 |
| United Healthcare | Medicare | $0.39 |
| HMSA | Medicaid | $0.70 |
| Seven Corners | Commercial | $0.72 |
| HMSA | Commercial | $0.80 |
| HMSA | PHC Commercial | $0.80 |
| United Healthcare | Medicaid | $0.80 |
| Kaiser | Commercial | $1.09 |
Inpatient
$1.95cash price (self-pay)
$7.91list price
$4,496–$5,269range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hawaii Community Health Alliance | Commercial | $4,496 |
| Hawaii Mainland Administrators | UFCW | $4,496 |
| Hawaii Mainland Administrators | Non Trust Local | $5,135 |
| Hawaii Laborers | Commercial | $5,269 |
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All common services at The Queen's Medical Center West O'ahu