Ketorolac injection, 15 mg at Lee's Summit Medical Center. CPT J1885.
What Lee's Summit Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$90.50cash price (self-pay)
$90.50list price
$0.33–$76.92range 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 | $20.45 |
| Humana | EPO | $20.45 |
| Humana | HMO | $20.45 |
| Aetna Coventry | FamilyHealthPlanMCD | $20.82 |
| United | OptionsPPO | $22.08 |
| BCBS | FreedomNetworkSelect | $24.43 |
| Humana | POS | $25.79 |
| Humana | PPO | $25.79 |
| BCBS | Blue-Care(HMO) | $27.15 |
| BCBS | BlueAccess | $27.15 |
| BCBS | Preferred-CareBlue(PPO) | $27.15 |
| Coventry | WCOMP | $36.38 |
| BCBS | FreedomNetwork | $37.10 |
| BCBS | PC | $37.10 |
| Coventry KC MO | WCOMP | $37.10 |
| BCBS | Participating | $38.91 |
| BCBS | Traditional | $38.91 |
| United | GlobalBenefitPlan | $40.73 |
| OHA Network | MissouriWCOMP | $45.25 |
| CorVel Corporation | MOWC | $58.83 |
| Multiplan | ComplimentaryNetwork | $66.97 |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $67.88 |
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