Ketorolac injection, 15 mg at Belton Regional Medical Center. CPT J1885.
What Belton Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$76.52cash price (self-pay)
$81.00list price
$0.33–$76.28range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | KSMGMCD | $0.33 |
| Aetna Better Health | MCD | $0.34 |
| Amerigroup | MGMCD | $0.34 |
| BCBS | Tricare | $0.34 |
| HealthyBlue | MGMCD | $0.34 |
| Sunflower State Health Plan | MCD | $0.34 |
| Unicare | MGMCD | $0.34 |
| United | AllPayerAppendix | $0.56 |
| Humana | ASO | $18.31 |
| Humana | EPO | $18.31 |
| Humana | HMO | $18.31 |
| BCBS | FreedomNetworkSelect | $18.63 |
| United | OptionsPPO | $19.76 |
| Humana | POS | $23.09 |
| Humana | PPO | $23.09 |
| BCBS | FreedomNetwork | $29.16 |
| BCBS | PC | $29.16 |
| Aetna Coventry | FamilyHealthPlanMCD | $29.97 |
| Coventry | WCOMP | $32.56 |
| BCBS | Participating | $33.21 |
| BCBS | Traditional | $33.21 |
| Coventry KC MO | WCOMP | $33.21 |
| BCBS | Blue-Care(HMO) | $34.83 |
| BCBS | BlueAccess | $34.83 |
| United | GlobalBenefitPlan | $36.45 |
| OHA Network | MissouriWCOMP | $40.50 |
| BCBS | Preferred-CareBlue(PPO) | $44.55 |
| CorVel Corporation | MOWC | $52.65 |
| Multiplan | ComplimentaryNetwork | $59.94 |
| Multiplan | WCOMPMissouri | $64.80 |
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