Ketorolac injection, 15 mg at Saint Luke's South Hospital. CPT J1885.
What Saint Luke's South Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$8.91cash price (self-pay)
$40.20list price
$0.60–$131range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Managed Care (Ks) [2252] | UHC Community Plan Of Ks [22508] | $0.60 |
| Medicaid Managed Care (Ks) [2252] | Healthy Blue Kansas [22577] | $0.62 |
| Medicaid Managed Care (Ks) [2252] | Sunflower State Health [22505] | $0.66 |
| United Healthcare [3000] | Zzzuhc Slhs Umr Choice Plus [30021] | $0.87 |
| Cigna [7000] | Cigna [70002] | $0.98 |
| Cigna [7000] | Greatwest Cigna Open Access Plus [70005] | $0.98 |
| Cigna [7000] | Cigna Leased Open Access [70008] | $0.98 |
| United Healthcare [3000] | UHC [30008] | $1.16 |
| United Healthcare [3000] | UHC Surest [30017] | $1.16 |
| United Healthcare [3000] | UHC Choice Plus PPO Umr [30002] | $1.16 |
| United Healthcare [3000] | UHC Geha [30015] | $1.16 |
| Blue Cross Blue Shield [4000] | Bc Kc Ucm Kcmo Blue Select Plus [40029 | $1.52 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Hpn [40034] | $1.61 |
| Blue Cross Blue Shield [4000] | Bc Kc Hpn [40033] | $1.61 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue Exchange [40 | $1.74 |
| Blue Cross Blue Shield [4000] | Bc Kc Federal [40012] | $1.79 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue [40018] | $1.79 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Pref Care Blue PPO [400 | $1.79 |
| Blue Cross Blue Shield [4000] | Freedom Network Select [40021] | $17.38 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Healthlink PPO | $18.09 |
| Blue Cross Blue Shield [4000] | Freedom Network Select Php [40001] | $18.09 |
| Blue Cross Blue Shield [4000] | Zzzfreedom Network Select Cerner [4000 | $18.09 |
| Aetna [5000] | Zzzaetna Carelink Exchange [50016] | $22.00 |
| Blue Cross Blue Shield [4000] | Freedom Network Healthlink [40019] | $26.77 |
| Blue Cross Blue Shield [4000] | Freedom Network Php [40002] | $26.77 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Pref Care [40010] | $28.23 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Traditional [40009] | $29.01 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care [40017] | $29.39 |
| Blue Cross Blue Shield [4000] | Bc Of Ks Exchange HMO [40026] | $29.39 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Blue Select Plus [40032 | $30.19 |
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