Ketorolac injection, 15 mg at St. Luke's McCall Standard Charges. CPT J1885.
What St. Luke's McCall Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$2.18cash price (self-pay)
$10.73list price
$0.37–$22.78range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna [1062] | Hb Mccall Cigna | $0.37 |
| Commercial [1028] | Hb Mccall Cigna | $0.37 |
| Providence [1022] | Hb Mccall Cigna | $0.37 |
| Commercial [1028] | Hb Mccall Va Ccn | $6.22 |
| Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $6.22 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $6.22 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $6.22 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource HMO | $6.22 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource | $6.22 |
| Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $6.22 |
| Veterans Affairs [1056] | Hb Mccall Va Ccn | $6.22 |
| Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med | $6.29 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $6.35 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $6.35 |
| Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $6.85 |
| Commercial [1028] | Hb Mccall Multiplan Primary Network | $8.58 |
| Commercial [1028] | Hb Mccall Amps | $9.12 |
| Commercial [1028] | Hb Mccall Christian Health Aid | $9.12 |
| Blue Cross Federal [1008] | Hb Mccall Bci | $9.44 |
| Blue Cross Idaho [1007] | Hb Mccall Bci | $9.44 |
| Blue Cross Out Of State [1041] | Hb Mccall Bci | $9.44 |
| Commercial [1028] | Hb Mccall Moda Commercial | $9.44 |
| Moda [1055] | Hb Mccall Moda Commercial | $9.44 |
| Aetna [1021] | Hb Mccall Aetna Trinity Health (St Al'S) | $9.66 |
| Commercial [1028] | Hb Mccall Northern Nevada Laborers Trust | $9.66 |
| Pacificsource [1020] | Hb Mccall Pacificsource PPO Voyager | $10.09 |
| Aetna [1021] | Hb Mccall Bp Aetna | $10.19 |
| Commercial [1028] | Hb Mccall Bp Aetna | $10.19 |
| Commercial [1028] | Hb Mccall First Choice Health | $10.19 |
| First Health [1064] | Hb Mccall First Choice Health | $10.19 |
Inpatient
$2.18cash price (self-pay)
$10.73list price
$2.03–$22.07range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna [1062] | Hb Mccall Cigna | $9.98 |
| Commercial [1028] | Hb Mccall Cigna | $9.98 |
| Providence [1022] | Hb Mccall Cigna | $9.98 |
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