Ketorolac injection, 15 mg at St. Catherine Hospital - Dodge City. CPT J1885.
What St. Catherine Hospital - Dodge City publishes for this service, straight from its standard-charges file, last updated February 5, 2026.
Outpatient / ER
$36.00cash price (self-pay)
$90.00list price
$0.30–$97.07range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Managed Medicare | $0.30 |
| Blue Cross Blue Shield of Kansas | Managed Medicare | $0.30 |
| Cigna Healthcare | Managed Medicare | $0.30 |
| Humana | Managed Medicare | $0.30 |
| Kaiser | Managed Medicare | $0.30 |
| Kansas Health | Managed Medicare | $0.30 |
| Managed Medicare | Managed Medicare | $0.30 |
| Medicare | Medicare | $0.30 |
| Blue Cross Blue Shield of Kansas | Commercial PPO/HMO | $0.86 |
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $31.50 |
| United Healthcare | Commercial PPO/POS/HMO/EPO | $59.22 |
| WPAA | Commercial | $63.00 |
| Aetna | Commercial PPO/POS/HMO | $72.00 |
| Christian Health Aid | Commercial | $72.00 |
| Multiplan | Commercial Primary | $72.00 |
| Health Partners of Kansas | Commercial | $81.00 |
| Multiplan | Commercial Complementary | $81.00 |
Inpatient
$36.00cash price (self-pay)
$90.00list price
$31.50–$97.07range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $31.50 |
| United Healthcare | Commercial PPO/POS/HMO/EPO | $59.22 |
| Aetna | Commercial PPO/POS/HMO | $63.00 |
| Christian Health Aid | Commercial | $72.00 |
| Multiplan | Commercial Primary | $72.00 |
| Health Partners of Kansas | Commercial | $81.00 |
| Multiplan | Commercial Complementary | $81.00 |
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