Ketorolac injection, 15 mg at Advocate Good Samaritan Hospital. CPT J1885.
What Advocate Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated November 4, 2025.
Outpatient / ER
$53.28cash price (self-pay)
$116list price
$0.52–$98.61range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ambetter | Medicare Advantage | $0.52 |
| Molina | Medicare Advantage | $0.52 |
| Oscar Health HMO | Medicare Advantage | $0.54 |
| HSTechnology | Medicare Advantage | $0.69 |
| Cigna | Commercial | $1.36 |
| Cigna One Health | Commercial | $1.36 |
| United Healthcare Charter | Commercial | $1.37 |
| United Healthcare Nexus | Commercial | $1.37 |
| United Healthcare | HMO | $2.81 |
| United Healthcare Core Navigate | Commercial | $2.81 |
| Advocate Employee | Commercial | $45.77 |
| Aetna | Commercial | $62.67 |
| Blue Cross Blue Shield City of Chicago | Commercial | $84.57 |
| Blue Cross Blue Shield Blue Precision | Managed Care | $89.80 |
| Blue Cross Blue Shield | HMO | $91.54 |
| Blue Cross Blue Shield Choice | Commercial | $91.54 |
| Multiplan | Commercial | $92.94 |
| Private Healthcare Systems | Commercial | $92.94 |
| Blue Cross Blue Shield | PPO | $96.30 |
Inpatient
$53.28cash price (self-pay)
$116list price
$46.57–$95.16range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocate Employee | Commercial | $50.77 |
| Private Healthcare Systems | Commercial | $72.03 |
| Multiplan | Commercial | $92.94 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.