Ketorolac injection, 15 mg at St. Mary Medical Center. CPT J1885.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2.18cash price (self-pay)
$11.13list price
$0.33–$20.39range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MEDICARE [100] | Medicare | $0.33 |
| MEDICARE REHAB [110] | Medicare | $0.33 |
| MEDICARE PSYCH [111] | Medicare | $0.33 |
| TRICARE [120] | Medicare | $0.33 |
| TRICARE PSYCH [121] | Medicare | $0.33 |
| TRICARE REHAB [122] | Medicare | $0.33 |
| CHAMPVA [130] | Medicare | $0.33 |
| VA [140] | Medicare | $0.33 |
| MEDICARE MANAGED CARE PLANS [152] | Medicare | $0.33 |
| LOCAL 697 [387] | Local 697 | $0.33 |
| MOE HST [495] | Moe HST | $0.33 |
| MEDICARE MANAGED CARE PLANS [152] | UHC Devoted Medicare | $0.34 |
| UHC [370] | UHC Options PPO | $0.49 |
| UHC [370] | UHC All Payors | $0.49 |
| UHC [370] | UHC Navigate/Core | $0.49 |
| MITTAL [385] | UHC Options PPO | $0.49 |
| UMR EMPLOYEE [411] | UHC Navigate/Core | $0.49 |
| COMMERCIAL [600] | UHC All Payors | $0.49 |
| CIGNA [365] | Cigna | $0.69 |
| GREAT WEST [455] | Cigna | $0.69 |
| IHN [467] | Cigna | $0.69 |
| BX ILL HMO MCNP [315] | Powers Health Partners | $1.20 |
| AETNA [360] | Aetna NBD | $1.36 |
| AETNA [360] | Aetna | $1.41 |
| Bx Ill HMO Mcnp [315] | Bx IL HMO | $5.54 |
| LUTHERAN PREFERRED NETWORK [486] | Lutheran Preferred | $6.68 |
| BLUE CROSS [300] | Anthem Blue Cross | $7.55 |
| ANTHEM CARPTENTERS [468] | Anthem Blue Cross | $7.55 |
| LOCAL 150 [471] | Anthem Blue Cross | $7.55 |
| Phcs [380] | Phcs | $8.01 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.