Ketorolac injection, 15 mg at St. Charles Parish Hospital. CPT J1885.
What St. Charles Parish Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2.70cash price (self-pay)
$10.00list price
$0.32–$23.86range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Triwest Military � Tricare - Behavioral Health | All Payor | $0.32 |
| Triwest Military - Tricare | All Payor | $0.33 |
| Aetna Health Inc. - Medicare Advantage | All Payor | $0.35 |
| American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | $0.35 |
| Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | Al | $0.35 |
| Healthy Blue Dual Advantage (HMO-D-Snp) | All Payor | $0.35 |
| Humana � Medicare Advantage | All Payor | $0.35 |
| Humana � Medicare Advantage Humana Select Partner Plan | All Payor | $0.35 |
| Ochsner Health Plan | All Payor | $0.35 |
| Optum Va Ccn | All Payor | $0.35 |
| Peoples Health Network � Medicare Advantage | All Payor | $0.35 |
| United Healthcare - Medicare Advantage | All Payor | $0.35 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $0.75 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 1 | All Payor | $0.75 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $0.75 |
| Blue Cross Blue Shield Of Louisiana Community Blue | All Payor | $0.75 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $0.75 |
| Blue Cross Blue Shield Of Louisiana PPO | All Payor | $0.75 |
| Cigna Healthcare | All Payor | $1.35 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $4.54 |
| Healthy Blue (Healthy Louisiana) | All Payor | $4.54 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $4.54 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $4.54 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $4.54 |
| Aetna Better Health (Healthy Louisiana) | All Payor | $4.68 |
| Zelis | All Payor | $6.00 |
| Galaxy Health Network PPO | All Payor | $7.50 |
| Galaxy Health Network Wc | All Payor | $7.50 |
| Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $7.50 |
| Healthcomp & Personify Health (Formerly Gilsbar) | All Payor | $7.70 |
Inpatient
$2.70cash price (self-pay)
$10.00list price
$3.16–$13.71range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Healthcare | All Payor | $3.16 |
| Aetna Health Inc. PPO/POS | All Payor | $5.00 |
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