Ketorolac injection, 15 mg at Saint Alphonsus Regional Medical Center. CPT J1885.
What Saint Alphonsus Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1.00cash price (self-pay)
$10.37list price
$0.28–$25,300range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | Molina Im Plus Medicaid | $2.68 |
| Id County Ada | Medicaid County | $4.52 |
| Magellan Behavioral Health Medicaid | Magellan Medicaid | $4.52 |
| Idaho Dept Health And Wellfare | Idaho Department Of Health Welfare | $4.52 |
| Healthcare Management Admin | Regence Bs All Network | $8.94 |
| Selecthealth | Selecthealth Saha Network Small Grp | $10.38 |
| Selecthealth | Selecthealth Saha Network Indivudial | $10.54 |
| Blue Cross - Az | Bci HMO | $10.69 |
| Blue Cross - Ct (Anthem) | Bci HMO | $10.69 |
| Blue Cross - Co (Anthem) | Bci HMO | $10.69 |
| Blue Shield - CA | Bci HMO | $10.69 |
| Blue Cross - Dc (Carefirst) | Bci HMO | $10.69 |
| Blue Cross - De (Highmark) | Bci HMO | $10.69 |
| Blue Cross - FL | Bci HMO | $10.69 |
| Blue Cross - Hi | Bci HMO | $10.69 |
| BCBS Generic | Bci HMO | $10.69 |
| Blue Cross - Ak (Premera) | Bci HMO | $10.69 |
| Blue Cross - CA (Anthem) | Bci HMO | $10.69 |
| Blue Cross - Ar | Bci HMO | $10.69 |
| Health Choices | Bci HMO | $10.69 |
| Blue Cross - TX | Bci HMO | $10.69 |
| Blue Cross - Tn | Bci HMO | $10.69 |
| Bcn Domestic | Bci HMO | $10.69 |
| Blue Benefit Administrators Of Massachusetts | Bci HMO | $10.69 |
| Blue Distinction Transplant | Bci HMO | $10.69 |
| Blue Cross Domestic | Bci HMO | $10.69 |
| Blue Care Network | Bci HMO | $10.69 |
| Blue Cross - IL Alternate | Bci HMO | $10.69 |
| Blue Cross - Mn | Bci HMO | $10.69 |
| Blue Cross - In (Anthem) | Bci HMO | $10.69 |
Inpatient
$16.10cash price (self-pay)
$16.10list price
$1.20–$14.49range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $1.31 |
| Pace-Trinity Health | Medicare | $1.31 |
| Serenity Pace | Medicare | $1.31 |
| Siouxland Pace | Medicare | $1.31 |
| Blue Cross - Ga (Anthem) Medicare Advantage | Medicare | $1.31 |
| Blue Cross - Ky (Anthem) Medicare Advantage | Medicare | $1.31 |
| Upmc Medicare Advantage | Medicare | $1.31 |
| Univera Healthcare Medicare Advantage | Medicare | $1.31 |
| Tufts Medicare Advantage | Medicare | $1.31 |
| Medicare | Medicare | $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 |
| Cigna Medicare Advantage | Medicare | $1.31 |
| Blue Cross - Ne Medicare Advantage | Medicare | $1.31 |
| Blue Cross - NY (Anthem) Medicare Advantage | Medicare | $1.31 |
| Hap Empowered Mi Health Link Medicare Dual | Medicare | $1.31 |
| Total Healthcare Medicare Snp | Medicare | $1.31 |
| Connecticare Vip Medicare | Medicare | $1.31 |
| Medicare Puerto Rico | Medicare | $1.31 |
| Mercyone Cedar Valley | Medicare | $1.31 |
| Tristate Benefit Solutions Medicare Advantage | Medicare | $1.31 |
| Cardinal Innovations Lme | Medicaid | $2.60 |
| Partners Behavioral Lme | Medicaid | $2.60 |
| Vaya Health Lme | Medicaid | $2.60 |
| Sandhills Center Lme | Medicaid | $2.60 |
| Upper Peninsula Health Plan (Uphp) Medicaid | Medicaid | $2.60 |
| Dean Wi Badgercare | Medicaid | $2.60 |
| Humana Medicaid | Medicaid | $2.60 |
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All common services at Saint Alphonsus Regional Medical Center