Ketorolac injection, 15 mg at Springfield Memorial Hospital. CPT J1885.
What Springfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$9.17cash price (self-pay)
$9.45list price
$0.32–$16.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | BCBS HMO/PHAI | $2.13 |
| BCBS Medicare Advantage | BCBS Medicare Advantage | $2.95 |
| Health Alliance | Health Alliance ACA | $3.02 |
| Current Health Network PPO | Current Health Network PPO | $4.25 |
| Aetna | Aetna PPO | $4.33 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $4.35 |
| Health Alliance | Health Alliance OA/PPO | $4.35 |
| HealthLink | HealthLink EPO | $4.72 |
| Commercial Workers Compensation | Commercial Workers Compensation | $4.78 |
| Health Alliance | Health Alliance Coordinated Care Plan (CCP) | $4.91 |
| Cigna | Cigna PPO | $4.96 |
| Illinois Workers Compensation | Illinois Workers Compensation | $5.03 |
| PHCS/MultiPlan | PHCS Savility PPO | $5.10 |
| HealthLink | HealthLink HMO | $5.39 |
| Health Alliance | Health Alliance Self Funded | $5.47 |
| 6 Degrees Health | 6 Degrees Health | $5.67 |
| Hst | Hst | $5.67 |
| HopeTrust | HopeTrust | $5.67 |
| Humana | Humana PPO | $5.67 |
| Magellan | Magellan PPO | $5.67 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $5.67 |
| UnitedHealthCare | UnitedHealthCare PPO | $5.86 |
| HealthLink | HealthLink PPO | $5.95 |
| Consociate | Consociate PPO | $6.14 |
| Health Alliance | Health Alliance Gated PPO | $6.14 |
| HFN | HFN Platinum PPO | $6.14 |
| Hfn | Hfn PPO | $6.14 |
| Preferred Plan | Preferred Plan PPO | $7.09 |
| SOI McFarland | SOI McFarland PPO | $7.09 |
| SOI Rushville | SOI Rushville PPO | $7.09 |
Inpatient
$9.17cash price (self-pay)
$9.45list price
$3.67–$16.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance | Health Alliance ACA | $3.78 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $4.35 |
| PHCS/MultiPlan | PHCS Savility PPO | $5.10 |
| Health Alliance | Health Alliance Gated PPO | $5.20 |
| Health Alliance | Health Alliance Self Funded | $5.47 |
| 6 Degrees Health | 6 Degrees Health | $5.67 |
| HopeTrust | HopeTrust | $5.67 |
| Hst | Hst | $5.67 |
| Humana | Humana PPO | $5.67 |
| Magellan | Magellan PPO | $5.67 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $5.67 |
| HFN | HFN Platinum PPO | $6.14 |
| Hfn | Hfn PPO | $6.14 |
| Preferred Plan | Preferred Plan PPO | $7.09 |
| SOI McFarland | SOI McFarland PPO | $7.09 |
| SOI Rushville | SOI Rushville PPO | $7.09 |
| Methodist First Choice | Methodist First Choice PPO | $7.56 |
| Mutual Medical Plans | Mutual Medical Plans PPO | $8.03 |
| Blue Cross Blue Shield | BCBS HMO/PHAI | $9.45 |
| Blue Cross Blue Shield | BCBS PPO/Indemnity/ACA | $9.45 |
| BCBS | Blue Cross Memorial Health System | $9.45 |
| Liability | Liability | $9.45 |
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