Ketorolac injection, 15 mg at Three Rivers Health. CPT J1885.
What Three Rivers Health publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$29.25cash price (self-pay)
$45.00list price
$0.16–$45.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MI Medicaid | $0.16 |
| McLaren | MI Medicaid | $0.16 |
| Molina | MI Medicaid | $0.16 |
| Priority Health | MI Medicaid | $0.16 |
| UHC | MI Medicaid | $0.16 |
| BCBS of Michigan | Medicare Advantage | $0.30 |
| Humana | Medicare Advantage | $0.30 |
| McLaren | Medicare Advantage | $0.30 |
| Meridian | Medicare Advantage | $0.30 |
| Priority Health | Medicare Advantage | $0.30 |
| UHC | Medicare Advantage | $0.30 |
| Devoted Healthcare | Medicare Advantage | $9.00 |
| Molina | Medicare Advantage | $13.50 |
| CHA | Employer Group 4 | $27.00 |
| BCBS of Michigan | Commercial | $28.14 |
| McLaren | Commercial | $28.70 |
| UHC | Commercial | $34.97 |
| Aetna | Commercial | $34.97 |
| Plain Church | Commercial | $36.00 |
| CHA | Commercial | $39.60 |
| Priority Health | Commercial | $40.95 |
| Meridian | Commercial | $45.00 |
Inpatient
$29.25cash price (self-pay)
$45.00list price
$9.00–$45.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Healthcare | Medicare Advantage | $9.00 |
| Molina | MI Medicaid | $13.50 |
| Molina | Medicare Advantage | $13.50 |
| BCBS of Michigan | Commercial | $27.88 |
| McLaren | Commercial | $28.70 |
| CHA | Employer Group 4 | $33.75 |
| Aetna | Commercial | $34.97 |
| Plain Church | Commercial | $36.00 |
| Priority Health | Commercial | $36.00 |
| CHA | Commercial | $39.60 |
| Meridian | Commercial | $45.00 |
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