Ketorolac injection, 15 mg at Trinity Health Livonia Hospital. CPT J1885.

What Trinity Health Livonia Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$11.21cash price (self-pay)

$10.35list price

$0.07–$7,260range insurers pay

Insurance plan	Negotiated rate
Molina Medicaid \| Molina Medicaid	$0.33
Mclaren Health Medicaid \| Mclaren Medicaid	$0.34
Blue Cross - Mi \| BCBS Mi Local HMO	$5.19
Blue Care Network \| Bcn HMO	$6.69
Blue Cross - Mi \| BCBS Trad / Trust	$8.07
Blue Cross - Mo (Anthem) \| BCBS Trad / Trust	$8.07
Blue Cross - Ks \| BCBS Trad / Trust	$8.07
Blue Cross - Oh (Anthem) \| BCBS Trad / Trust	$8.07
Blue Cross - Ne \| BCBS Trad / Trust	$8.07
Blue Cross - Nd \| BCBS Trad / Trust	$8.07
Blue Cross - Sd (Wellmark) \| BCBS Trad / Trust	$8.07
Blue Cross - Ak (Premera) \| BCBS Trad / Trust	$8.07
Blue Cross - Al \| BCBS Trad / Trust	$8.07
Blue Cross - Ar \| BCBS Trad / Trust	$8.07
Blue Cross - Az \| BCBS Trad / Trust	$8.07
BCBS Generic \| BCBS Trad / Trust	$8.07
Blue Cross - Nm \| BCBS Trad / Trust	$8.07
Blue Cross - Ia (Wellmark) \| BCBS Trad / Trust	$8.07
Blue Cross - Wi (Anthem) \| BCBS Trad / Trust	$8.07
Blue Cross - IL \| BCBS Trad / Trust	$8.07
Blue Cross - IL Alternate \| BCBS Trad / Trust	$8.07
Blue Cross - Mn \| BCBS Trad / Trust	$8.07
Blue Cross - In (Anthem) \| BCBS Trad / Trust	$8.07
Blue Shield - NY Highmark Western \| BCBS Trad / Trust	$8.07
Blue Cross - NY (Excellus) \| BCBS Trad / Trust	$8.07
Blue Cross - NY (Anthem) \| BCBS Trad / Trust	$8.07
Blue Shield - NY Highmark Northeastern \| BCBS Trad / Trust	$8.07
Health Choices \| BCBS Trad / Trust	$8.07
Blue Cross - Nc \| BCBS Trad / Trust	$8.07
Blue Cross - Wa (Premera) \| BCBS Trad / Trust	$8.07

—cash price (self-pay)

$9.64list price

$0.07–$9.64range insurers pay

Insurance plan	Negotiated rate
Blue Cross - Wy \| BCBS Trust Trad	$0.07
Triwest Health Alliance \| Tricare	$0.29
Mclaren Health \| Mclaren Health	$0.32
Rx Allwin \| Medicare	$0.33
Provider Partners Health Plan Of Indiana \| Medicare	$0.33
Aetna Medicare Transplant \| Medicare	$0.33
Humana Medicare Transplant \| Medicare	$0.33
Thome Pace \| Medicare	$0.33
Optum Medicare Transplant \| Medicare	$0.33
Sunnyview-Pace Finance Dept \| Medicare	$0.33
Eddy Senior Care-Pace \| Medicare	$0.33
American Health Advantage Of Idaho \| Medicare	$0.33
Everence \| Medicare	$0.33
Blue Shield - De (Highmark) Medciare Advantage \| Medicare	$0.33
Oscar Medicare Advantage \| Medicare	$0.33
Evercare \| Medicare	$0.33
Highmark Wholecare Medicare Advantage \| Medicare	$0.33
Pruitthealth Premier \| Medicare	$0.33
Core Care Select Medicare Advantage \| Medicare	$0.33
New Centry Health Careplus \| Medicare	$0.33
Georgia Health Advantage \| Medicare	$0.33
Carepartners Of Connecticut Medicare Advantage \| Medicare	$0.33
Universal Medicare \| Medicare	$0.33
Central Health Medicare Advantage \| Medicare	$0.33
Nascentia Health Plus \| Medicare	$0.33
Mass General Brigham Mcr Adv \| Medicare	$0.33
Hudson Headwaters Pace \| Medicare	$0.33
Scan Health Plan Mcr Ipa Meritage Oon \| Medicare	$0.33
Health New England Medicare Advantage \| Medicare	$0.33
Devoted Health Medicare Advantage \| Medicare	$0.33

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