Ketorolac injection, 15 mg at Southwest Medical Center. CPT J1885.
What Southwest Medical Center publishes for this service, straight from its standard-charges file, last updated July 22, 2026.
Outpatient / ER
$19.60cash price (self-pay)
$48.75list price
$0.28–$45.57range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United_healthcare_medicare_plan | Medicare | $0.28 |
| Sunflower_ks_medicaid_plan | Medicaid | $0.48 |
| United_healthcare_medicaid__plan | Medicaid | $0.48 |
| Multiplan_phcs_medical_assistance_program_plan | Medicaid | $0.48 |
| Aetna_medicaid_plan | Medicaid | $0.48 |
| Multiplan_phcs_medicaid_plan | Medicaid | $0.48 |
| Blue_cross_blue_shield_kansas_plan | Commercial | $0.90 |
| Health_choice_plan | Commercial | $34.30 |
| Wppa_plan | Commercial | $34.30 |
| Multiplan_phcs_primary_network_plan | Commercial | $41.65 |
| United_healthcare_commercial_plan | Commercial | $42.63 |
| Multiplan_phcs_auto_plan | Commercial | $44.10 |
| National_beef_packing_plan | Commercial | $44.10 |
| Omni_network_plan | Commercial | $44.10 |
| Multiplan_phcs_complementary_network_plan | Commercial | $45.57 |
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