Ketorolac injection, 15 mg at Children's Mercy Kansas City Adele Hall Campus. CPT J1885.
What Children's Mercy Kansas City Adele Hall Campus publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$28.10cash price (self-pay)
$60.39list price
$1.65–$66.58range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | All Other Commercial Plans | $1.65 |
| Blue Cross Blue Shield of Kansas | All Commercial Plans | $24.77 |
| Sunflower Health Plan | All KS Medicaid Plans | $27.18 |
| Cigna | CMH Employee Plans | $28.99 |
| United Healthcare Community Plan | All KS Medicaid Plans | $31.41 |
| Blue Cross Blue Shield of Kansas City | ACA Marketplace/Exchange Plans | $31.52 |
| Blue Cross Blue Shield of Kansas City | Blue High Performance Network | $34.97 |
| Medica | Select by Medica | $35.21 |
| United Healthcare | Core Essential Plans | $36.05 |
| Aetna | ACA Marketplace/Exchange Plans | $36.23 |
| Blue Cross Blue Shield of Kansas City | Blue Advantage, Blue Care, Blu | $36.78 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Blue Plan | $36.78 |
| Centivo | All Commercial Plans | $39.26 |
| Nebraska Furniture Mart | All Commercial Plans | $39.26 |
| Orscheln | All Commercial Plans | $39.26 |
| Wellfit/Centrus | All Commercial Plans | $39.26 |
| WPPA ProviDRs Care | All Commercial Plans | $39.26 |
| Health Midwest Comprehensive Care | All Commercial Plans | $39.32 |
| QuikTrip | All Commercial Plans | $39.32 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Plan | $39.80 |
| Humana | All Commercial Plans | $40.16 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Select Plan | $40.41 |
| United Healthcare | All Other Commercial Plans | $40.59 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Plan | $41.01 |
| Aetna | All Other Commercial Plans | $41.06 |
| Blue Cross Blue Shield of Kansas City | All Other Commercial Plans | $43.85 |
| Blue Cross Blue Shield of Kansas City | PHP Plan | $44.70 |
| Coventry Health Care of Kansas | First Health Network | $44.70 |
| Coxhealth Network | All Commercial Plans | $44.70 |
| Mercy Health | All Commercial Plans | $45.30 |
Inpatient
$28.10cash price (self-pay)
$60.39list price
$28.10–$66.58range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | CMH Employee Plans | $28.99 |
| Blue Cross Blue Shield of Kansas City | ACA Marketplace/Exchange Plans | $31.52 |
| Blue Cross Blue Shield of Kansas City | Blue High Performance Network | $34.97 |
| Medica | Select by Medica | $35.21 |
| United Healthcare | Core Essential Plans | $36.05 |
| Aetna | ACA Marketplace/Exchange Plans | $36.23 |
| Blue Cross Blue Shield of Kansas City | Blue Advantage, Blue Care, Blu | $36.78 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Blue Plan | $36.78 |
| Centivo | All Commercial Plans | $39.26 |
| Nebraska Furniture Mart | All Commercial Plans | $39.26 |
| Orscheln | All Commercial Plans | $39.26 |
| Wellfit/Centrus | All Commercial Plans | $39.26 |
| WPPA ProviDRs Care | All Commercial Plans | $39.26 |
| Health Midwest Comprehensive Care | All Commercial Plans | $39.32 |
| QuikTrip | All Commercial Plans | $39.32 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Plan | $39.80 |
| Humana | All Commercial Plans | $40.16 |
| United Healthcare | All Other Commercial Plans | $40.59 |
| Aetna | All Other Commercial Plans | $41.06 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Select Plan | $41.55 |
| Cigna | All Other Commercial Plans | $41.97 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Plan | $42.70 |
| Blue Cross Blue Shield of Kansas City | All Other Commercial Plans | $43.85 |
| Blue Cross Blue Shield of Kansas City | PHP Plan | $44.70 |
| Coventry Health Care of Kansas | First Health Network | $44.70 |
| Coxhealth Network | All Commercial Plans | $44.70 |
| Mercy Health | All Commercial Plans | $45.30 |
| Multiplan | All Commercial Plans | $45.90 |
| American Healthcare Alliance | All Commercial Plans | $51.34 |
| Healthlink | All Commercial Plans | $53.15 |
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All common services at Children's Mercy Kansas City Adele Hall Campus