Ketorolac injection, 15 mg at Wright Memorial Hospital. CPT J1885.
What Wright Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$7.50cash price (self-pay)
$19.95list price
$1.19–$37.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial-Contracted [8000] | Chc Se Ks Luminare Employee Plan [80085 | $14.37 |
| Cigna [7000] | Cigna [70002] | $15.96 |
| Cigna [7000] | Cigna Connect EPO Exchange [70015] | $15.96 |
| Cigna [7000] | Cigna Healthpartners [70012] | $15.96 |
| Cigna [7000] | Cigna Leased Open Access [70008] | $15.96 |
| Cigna [7000] | Cigna Leased PPO [70003] | $15.96 |
| Cigna [7000] | Cigna PPO EPO [70001] | $15.96 |
| Cigna [7000] | Greatwest Cigna Open Access Plus [70005] | $15.96 |
| Cigna [7000] | Greatwest Cigna PPO [70006] | $15.96 |
| Aetna [5000] | Aetna Local [50005] | $16.45 |
| Aetna [5000] | Aetna Meritain Local [50015] | $16.45 |
| Aetna [5000] | Aetna Meritain National [50001] | $16.45 |
| Aetna [5000] | Aetna National [50006] | $16.45 |
| Aetna [5000] | Aetna Signature Misc PPO [50010] | $16.45 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2905 [50002] | $16.45 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2920 [50000] | $16.45 |
| Aetna [5000] | Zzzaetna Carelink Exchange [50016] | $16.45 |
| Aetna [5000] | Aetna I35 Meritain Nap [50018] | $16.96 |
| Aetna [5000] | Aetna Nap [50014] | $16.96 |
| Blue Cross Blue Shield [4000] | Bc Kc Ucm Kcmo Blue Select Plus [40029 | $16.96 |
| Blue Cross Blue Shield [4000] | Bc Kc Hpn [40033] | $17.62 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Hpn [40034] | $17.62 |
| Blue Cross Blue Shield [4000] | Zzzbc Preferred Care Blue Slhs [40027] | $18.36 |
| Cigna [7000] | Cigna Bjc Flex Or HDHP [70017] | $18.36 |
| Aetna [5000] | Aetna Indemnity [50009] | $18.96 |
| Blue Cross Blue Shield [4000] | Bc Kc Federal [40012] | $19.95 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care [40017] | $19.95 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue [40018] | $19.95 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue Exchange [40 | $19.95 |
| Blue Cross Blue Shield [4000] | Bc Of Ks Exchange HMO [40026] | $19.95 |
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