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

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

Outpatient / ER

$4.74cash price (self-pay)

$7.30list price

$0.07–$34.65range insurers pay

Insurance plan	Negotiated rate
Blue Cross Complete - Mi \| Blue Cross Complete Medicaid	$0.34
Mclaren Health Medicaid \| Mclaren Medicaid	$0.34
Molina Medicaid \| Molina Medicaid	$0.35
Access Health \| Access Health	$1.85
Molina Medicare Advantage \| Molina Medicare Advantage	$2.59
Hap Medicare Advantage \| Hap Medicare Advantage	$2.59
Aetna Medicare Advantage \| Aetna Medicare Advantage	$2.65
Longevity Ipa Of Michigan LLC Health Plan Isnp \| Longevity Ipa Medicar	$2.98
Hap \| Hap Hpi	$7.93
Asr Health Benefits \| Asr	$8.80
Blue Care Network \| Bcn HMO	$9.04
Christian Care Ministry \| Multiplan	$9.10
Dean Health \| Multiplan	$9.10
Family Life Insurance Company \| Multiplan	$9.10
1199 National Benefit Fund \| Multiplan	$9.10
Mvp \| Multiplan	$9.10
Pai \| Multiplan	$9.10
Pan-American Life \| Multiplan	$9.10
Manhattan Life \| Multiplan	$9.10
Trinity Health Share \| Multiplan	$9.10
Fallon Health \| Multiplan	$9.10
Asrm - Reliance Standard Life Insurance \| Multiplan	$9.10
Phcs \| Multiplan	$9.10
Lifetime Benefit Solutions \| Multiplan	$9.10
International Benefit Administrators \| Multiplan	$9.10
Allied National Global Care \| Multiplan	$9.10
Multiplan \| Multiplan	$9.10
Blue Cross - Mi \| BCBS Trad / Trust	$11.84
Blue Cross - IL Alternate \| BCBS Trad / Trust	$11.84
Blue Cross - Mn \| BCBS Trad / Trust	$11.84

—cash price (self-pay)

$2.10list price

$0.07–$2.10range insurers pay

Insurance plan	Negotiated rate
Blue Shield - NY Highmark Northeastern \| BCBS Trust Trad	$0.07
Blue Cross - Nc \| BCBS Trust Trad	$0.07
Blue Cross - Ok \| BCBS Trust Trad	$0.07
Blue Cross - Pa (Independence) \| BCBS Trust Trad	$0.07
Blue Cross - Or (Regence) \| BCBS Trust Trad	$0.07
Blue Care Network \| Bcn HMO	$0.16
Cmh Muskegon County \| Medicaid	$0.33
Cmh Newaygo County \| Medicaid	$0.33
Cmh Northern Lakes County \| Medicaid	$0.33
Cmh Oakland County \| Medicaid	$0.33
Cmh Ottawa County \| Medicaid	$0.33
Cmh Van Buren County \| Medicaid	$0.33
Cmh Washtenaw County \| Medicaid	$0.33
Cmh Detroit Wayne Integrated Health Network \| Medicaid	$0.33
Cmh Wayne Cty/Com Liv Svcs \| Medicaid	$0.33
Cmh Wayne County/Carelink \| Medicaid	$0.33
Cmh West Mi County \| Medicaid	$0.33
Priority Health Medicaid \| Priority Health Medicaid	$0.33
Medstar Dc Healthy Family \| Medicaid	$0.33
Moda Plus Medicaid Advantage \| Medicaid	$0.33
Blue Cross - Id Medicaid Advantage \| Medicaid	$0.33
Blue Cross - Oh (Anthem) Medicaid Advantage \| Medicaid	$0.33
Keystone First \| Medicaid	$0.33
County Care Medicaid Advantage \| Medicaid	$0.33
Inland Empire Health Plan \| Medicaid	$0.33
Cencal Health Plan \| Medicaid	$0.33
La Care Health Plan \| Medicaid	$0.33
Kern Family Health Plan \| Medicaid	$0.33
Community Care Behavorial Health \| Medicaid	$0.33
California Health And Wellness \| Medicaid	$0.33

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