Ketorolac injection, 15 mg at 64-0663760 BMH Booneville. CPT J1885.
What 64-0663760 BMH Booneville publishes for this service, straight from its standard-charges file, last updated February 25, 2026.
Outpatient / ER
$0.80cash price (self-pay)
$9.78list price
$0.64–$57.03range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| VACCN | Veterans Administration | $0.67 |
| Devoted Health | Medicare | $0.68 |
| Humana | Medicare | $0.69 |
| MS BCBS | Medicare | $0.69 |
| Aetna | Medicare | $0.70 |
| American Health Plan | Medicare | $0.70 |
| First State Bank Trust | Commercial | $1.14 |
| Arlington Community Schools | Commercial | $1.21 |
| Armstrong Relocation | Commercial | $1.21 |
| Ashley Furniture Stores | Commercial | $1.21 |
| Bartlett City Schools | Commercial | $1.21 |
| Brimhall Foods | Commercial | $1.21 |
| Building Plastic | Commercial | $1.21 |
| Burch Food Services | Commercial | $1.21 |
| Cannon Motor Company | Commercial | $1.21 |
| Carlisle | Commercial | $1.21 |
| City of Bartlett | Commercial | $1.21 |
| City of Lakeland | Commercial | $1.21 |
| Collierville Schools | Commercial | $1.21 |
| Crittenden County | Commercial | $1.21 |
| Davidson Hospitality | Commercial | $1.21 |
| Delta Industries | Commercial | $1.21 |
| DeSoto Co Board of Supervisors | Commercial | $1.21 |
| Dunn Investment Company | Commercial | $1.21 |
| EAS MSSC Schools | Commercial | $1.21 |
| First Choice Health Plan of MS | HPN | $1.21 |
| First Community Bank | Commercial | $1.21 |
| French Camp Academy | Commercial | $1.21 |
| Gossett Motor Cars | Commercial | $1.21 |
| Hattiesburg Clinic | Commercial | $1.21 |
Inpatient
$0.80cash price (self-pay)
$9.78list price
$1.27–$57.03range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PPO Holdings | Commercial | $3.72 |
| Magnolia Regional Health Center | Commercial | $3.91 |
| Littler | Commercial | $4.89 |
| Magnolia MS | Exchange | $4.89 |
| Molina | Exchange | $4.89 |
| Cigna | Commercial | $5.38 |
| First Choice Health Plan of MS | Commercial | $5.67 |
| Humana | PPO | $6.45 |
| Multiplan | Complementary Network | $7.33 |
| Multiplan | MPI Primary Network | $7.33 |
| NovaSys | All | $7.33 |
| Christian Health Aid | Commercial | $7.82 |
| PPO Plus | Commercial | $8.31 |
| QCA | All | $8.80 |
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