Ketorolac injection, 15 mg at Allen County Regional Hospital. CPT J1885.
What Allen County Regional Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$12.00cash price (self-pay)
$22.38list price
$0.31–$36.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Managed Care (Ks) [2252] | Sunflower State Health [22505] | $0.45 |
| Medicaid Managed Care (Ks) [2252] | Healthy Blue Kansas [22577] | $0.46 |
| Blue Cross Blue Shield [4000] | Bc Blue Choice Allen Anderson Cushing | $1.08 |
| Blue Cross Blue Shield [4000] | Bc Cap Allen Anderson Cushing [40004] | $1.14 |
| Blue Cross Blue Shield [4000] | Bc Ks Exch HMO Allen Anderson Cushing | $1.14 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Allen Anderson Cushing | $1.14 |
| Commercial-Contracted [8000] | Providrs Care Network [80021] | $10.74 |
| Medicare Replacement Plan [1250] | Optum UHC Medicare Advantage [12508 | $11.14 |
| Medicare Replacement Plan [1250] | Aetna Medicare Advantage Legacy PPO | $11.14 |
| Medicare Replacement Plan [1250] | UHC Dual Complete Snp Ks [12521] | $11.14 |
| Humana [7500] | Zzzhumana Commercial PPO POS [75001] | $11.88 |
| Commercial-Contracted [8000] | Medica Exchange [80075] | $13.72 |
| Commercial-Contracted [8000] | Chc Se Ks Luminare Employee Plan [80085 | $16.11 |
| Commercial-Contracted [8000] | Phcs Multiplan [80056] | $16.78 |
| First Health [5512] | First Health Medishare [55122] | $18.44 |
| First Health [5512] | First Health Misc [55116] | $18.44 |
| First Health [5512] | First Health Repricing Addrs [55113] | $18.44 |
| First Health [5512] | First Health Uprehs [55119] | $18.44 |
| First Health [5512] | Zzzfirst Health Benefit Management [55117] | $18.44 |
| Aetna [5000] | Aetna Local [50005] | $18.45 |
| Aetna [5000] | Aetna Meritain Local [50015] | $18.45 |
| Aetna [5000] | Aetna Meritain National [50001] | $18.45 |
| Aetna [5000] | Aetna National [50006] | $18.45 |
| Aetna [5000] | Aetna Signature Misc PPO [50010] | $18.45 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2905 [50002] | $18.45 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2920 [50000] | $18.45 |
| Aetna [5000] | Zzzaetna Carelink Exchange [50016] | $18.45 |
| Aetna [5000] | Aetna I35 Meritain Nap [50018] | $19.02 |
| Aetna [5000] | Aetna Nap [50014] | $19.02 |
| Cigna [7000] | Cigna [70002] | $20.30 |
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