Ketorolac injection, 15 mg at Liberty Hospital. CPT J1885.
What Liberty Hospital publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
$5.00cash price (self-pay)
$30.00list price
$0.30–$32.64range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | PAR Traditional | $0.30 |
| Blue Cross Blue Shield | Preferred Care Blue ACA | $0.30 |
| Aetna | Medicare Advantage | $0.34 |
| AllWell Medicare Advantage | Medicare Advantage | $0.34 |
| Blue Cross Blue Shield | Blue Care | $0.34 |
| Blue Cross Blue Shield | Blue Select/Blue Select Plus - ACA | $0.34 |
| United Healthcare | Medicare Advantage | $0.34 |
| Humana | Medicare Advantage | $0.35 |
| PPHP Medicare Advantage | Medicare Advantage | $0.37 |
| Ambetter Health | Ambetter ACA | $0.43 |
| Blue Cross Blue Shield | Blue Select Plus | $0.50 |
| United Healthcare | Choice Plus | $0.50 |
| United Healthcare | HMO | $0.50 |
| United Healthcare | PPO | $0.50 |
| Cigna | Cigna Local Plus | $0.94 |
| Cigna | HMO | $0.94 |
| Cigna | Open Access | $0.94 |
| Cigna | PPO | $0.94 |
| 6 Degrees Health | 6 Degrees Health | $1.88 |
| Centrus Health Direct | Non-Exclusive | $6.00 |
| Centrus Health Direct | Exclusive | $7.00 |
| Aetna | Aetna Select | $8.37 |
| Aetna | Choice POS II | $8.37 |
| Aetna | HMO | $8.37 |
| Aetna | KC Network Plus | $8.37 |
| Aetna | Open Access | $8.37 |
| Aetna | Open Choice | $8.37 |
| Aetna | PPO | $8.37 |
| Blue Cross Blue Shield | Freedom Network Select | $14.08 |
| Blue Cross Blue Shield | Freedom Network | $16.32 |
Inpatient
$5.00cash price (self-pay)
$30.00list price
$5.58–$32.64range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Select | $8.37 |
| Aetna | Choice POS II | $8.37 |
| Aetna | HMO | $8.37 |
| Aetna | KC Network Plus | $8.37 |
| Aetna | Open Access | $8.37 |
| Aetna | Open Choice | $8.37 |
| Aetna | PPO | $8.37 |
| Allied National | Freedom Advantage | $18.00 |
| Blue Cross Blue Shield | Freedom Network Select | $21.12 |
| QuikTrip | QuikTrip | $24.00 |
| Blue Cross Blue Shield | Freedom Network | $24.48 |
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