Ketorolac injection, 15 mg at Missouri Baptist Sullivan Hospital. CPT J1885.
What Missouri Baptist Sullivan Hospital publishes for this service, straight from its standard-charges file, last updated December 15, 2025.
Outpatient / ER
$2.19cash price (self-pay)
$3.72list price
$0.28–$10.60range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare [211] | Bjc Hb Medicare Advantra Mhs | $0.82 |
| Aetna Medicare [211] | Bjc Hb Medicare Gold Advantage Mhs | $0.82 |
| Essence Healthcare [221] | Bjc Hb Medicare Essence Mhs | $0.82 |
| Cox Health [757] | Bjc Hb Medicare Coxhealth Mhs | $0.86 |
| BCBS Medicare Oos [611] | Bjc Hb Medicare Anthem Advantage Mhs | $0.87 |
| BCBS Medicare Alt [649] | Bjc Hb Medicare Anthem Advantage Mhs | $0.87 |
| BCBS Medicare Oos IL [612] | Bjc Hb Medicare Anthem Advantage Mhs | $0.87 |
| Blue Cross Blue Shield Medicare [263] | Bjc Hb Medicare Anthem Advanta | $0.87 |
| Devoted Health Plan [847] | Bjc Hb Medicare Devoted Mhs | $0.90 |
| Cigna [202] | Bjc Hb Cigna Local Plus Rural | $1.50 |
| Nalc Health Benefit Plan [242] | Bjc Hb Cigna HMO/PPO Rural | $1.68 |
| Apwu Health Plan [216] | Bjc Hb Cigna HMO/PPO Rural | $1.68 |
| Healthlink [225] | Bjc Hb Healthlink Soi Rural | $1.81 |
| Health Alliance [224] | Bjc Hb Health Alliance Community | $1.86 |
| Consociate [478] | Bjc Hb Consociate Care Coe Community | $2.01 |
| Consociate [478] | Bjc Hb Consociate Care D2e Community | $2.01 |
| Cox Health Systems Insurance Company [220] | Bjc Hb Cox Health Aca | $2.05 |
| Allied Benefits [498] | Bjc Hb Hope Trust | $2.16 |
| Cox Health Systems Insurance Company [220] | Bjc Hb Cox Health Network | $2.23 |
| Allied Benefits [498] | Bjc Hb Aetna Commercial Rural | $2.25 |
| Mail Handlers [495] | Bjc Hb Aetna Commercial Rural | $2.25 |
| Coresource [497] | Bjc Hb Aetna Commercial Rural | $2.25 |
| Fmh Benefit Service Inc [222] | Bjc Hb Aetna Commercial Rural | $2.25 |
| Healthlink [225] | Bjc Hb Healthlink HMO Rural | $2.42 |
| Blue Cross Blue Shield Traditional [500] | Bjc Hb Anthem Choice Rural | $2.62 |
| Allied Benefits [498] | Bjc Hb First Health Rural | $2.76 |
| First Health Commercial [734] | Bjc Hb First Health Rural | $2.76 |
| Aetna [200] | Bjc Hb Aetna National | $2.76 |
| Health Systems Inc [620] | Bjc Hb Phcs Rural | $2.79 |
| Aetna [200] | Bjc Hb Group Health Plan PPO Select | $2.79 |
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