Ketorolac injection, 15 mg at Menorah Medical Center. CPT J1885.
What Menorah Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$161cash price (self-pay)
$163list price
$0.33–$133range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | MGMCD | $0.33 |
| United | KSMGMCD | $0.33 |
| Aetna Better Health | MCD | $0.34 |
| BCBS | Tricare | $0.34 |
| HealthyBlue | MGMCD | $0.34 |
| Sunflower State Health Plan | MCD | $0.34 |
| TriWest Health Alliance | TRICARE | $0.34 |
| Unicare | MGMCD | $0.34 |
| United | AllPayerAppendix | $0.56 |
| Humana | ASO | $36.93 |
| Humana | EPO | $36.93 |
| Humana | HMO | $36.93 |
| BCBS | FreedomNetworkSelect | $37.59 |
| United | OptionsPPO | $39.87 |
| Aetna Coventry | FamilyHealthPlanMCD | $42.49 |
| Humana | POS | $46.57 |
| Humana | PPO | $46.57 |
| BCBS | Blue-Care(HMO) | $49.03 |
| BCBS | BlueAccess | $49.03 |
| BCBS | Preferred-CareBlue(PPO) | $49.03 |
| BCBS | FreedomNetwork | $65.37 |
| BCBS | PC | $65.37 |
| Coventry | WCOMP | $65.69 |
| Coventry KC MO | WCOMP | $67.00 |
| BCBS | Participating | $73.54 |
| BCBS | Traditional | $73.54 |
| United | GlobalBenefitPlan | $73.54 |
| OHA Network | MissouriWCOMP | $81.71 |
| CorVel Corporation | MOWC | $106 |
| Multiplan | ComplimentaryNetwork | $121 |
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