Ketorolac injection, 15 mg at Henry Ford Jackson Hospital. CPT J1885.
What Henry Ford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
—cash price (self-pay)
$9.71list price
$0.17–$22.13range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross Complete | $0.17 |
| HAP | HAP Caresource Medicaid | $0.17 |
| McLaren | Medicaid HMO | $0.17 |
| Meridian | Medicaid HMO | $0.17 |
| Priority Health | Medicaid HMO | $0.17 |
| Aetna Better Health | Medicaid HMO | $0.18 |
| Molina | Medicaid HMO | $0.19 |
| Humana Military | Tricare | $0.29 |
| Blue Cross | BCN Advantage | $0.32 |
| Cascade Thome Pace | All Products | $0.32 |
| Aetna | Medicare Advantage | $0.33 |
| Blue Cross | Medicare Plus Blue | $0.33 |
| HAP | Medicare Advantage | $0.33 |
| HAP | Commercial | $0.33 |
| Humana | Medicare Advantage | $0.33 |
| McLaren | Medicare Advantage | $0.33 |
| Molina | Dual MI Coordinated Health | $0.33 |
| Priority Health | Medicare Advantage | $0.33 |
| Priority Health | Dual Premier_HIDE-SNP | $0.33 |
| United Healthcare | VACCN | $0.33 |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $0.33 |
| HAP | HAP Dual Products | $0.34 |
| Meridian | Ambetter From Meridian | $0.37 |
| HAP | Henry Ford Select -HPN commercial | $0.39 |
| Priority Health | Commercial | $0.63 |
| Vitalcore | All Products | $0.77 |
| Nomi | All Products | $0.89 |
| Bcn | HMO | $0.96 |
| Blue Cross | BCBSM Commercial | $0.96 |
| Blue Cross | BCN Commercial | $0.96 |
Inpatient
—cash price (self-pay)
$9.71list price
$1.05–$22.13range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $5.75 |
| United Healthcare | UHC Commercial | $7.16 |
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