Ketorolac injection, 15 mg at Holy Rosary Healthcare. CPT J1885.
What Holy Rosary Healthcare publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$15.14list price
$0.30–$48.21range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allegiance | Allegiance Mmia | $6.63 |
| Tire Rama | Tire Rama | $6.63 |
| Pacificsource | Pacificsource Smart Health/Nav Network | $12.11 |
| Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $12.25 |
| First Choice Health | Boon-Chapman | $12.25 |
| First Choice Health | First Choice Health | $12.25 |
| First Choice Health | First Choice Other | $12.25 |
| First Choice Health | Healthcomp Tpa | $12.25 |
| Allegiance | Allegiance Group Health | $12.54 |
| Allegiance | Allegiance Other | $12.54 |
| Allegiance | Cigna - Commercial | $12.54 |
| Allegiance | Cigna Sclhs Employees | $12.54 |
| Allegiance | Silver Bow County Employees | $12.54 |
| Cigna | Cigna Other | $12.54 |
| Cigna | Cigna POS/Qpos | $12.54 |
| Cigna | Cigna PPO | $12.54 |
| Cigna | Eighth Dist Elect Ben Pln | $12.54 |
| Geha | Geha | $13.26 |
| United Healthcare | Golden Rule Ins | $13.26 |
| United Healthcare | UHC Charter/Navigate | $13.26 |
| United Healthcare | UHC Exchange Plan | $13.26 |
| United Healthcare | UHC Other/Supplemental | $13.26 |
| United Healthcare | Umr-United Med Resources | $13.26 |
| United Healthcare | United Healthcare | $13.26 |
| Mt Health Co-Op | Mountain Health Co-Op | $13.32 |
| Meritain Health | Meritain Health | $13.47 |
| Pacificsource | Pacificsource Voyager Network | $13.47 |
| Aetna | Aetna HMO/EPO | $13.63 |
| Aetna | Aetna POS/Qpos | $13.63 |
| Aetna | Aetna PPO | $13.63 |
Inpatient
—cash price (self-pay)
$15.14list price
$4.87–$48.21range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Pacificsource | Pacificsource Smart Health/Nav Network | $12.11 |
| Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $12.87 |
| First Choice Health | Boon-Chapman | $12.87 |
| First Choice Health | First Choice Health | $12.87 |
| First Choice Health | First Choice Other | $12.87 |
| First Choice Health | Healthcomp Tpa | $12.87 |
| Allegiance | Allegiance Group Health | $13.17 |
| Allegiance | Allegiance Other | $13.17 |
| Allegiance | Cigna - Commercial | $13.17 |
| Allegiance | Cigna Sclhs Employees | $13.17 |
| Allegiance | Silver Bow County Employees | $13.17 |
| Cigna | Cigna Other | $13.17 |
| Cigna | Cigna POS/Qpos | $13.17 |
| Cigna | Cigna PPO | $13.17 |
| Cigna | Eighth Dist Elect Ben Pln | $13.17 |
| Mt Health Co-Op | Mountain Health Co-Op | $13.32 |
| Meritain Health | Meritain Health | $13.47 |
| Pacificsource | Pacificsource Voyager Network | $13.47 |
| Aetna | Aetna HMO/EPO | $13.63 |
| Aetna | Aetna POS/Qpos | $13.63 |
| Aetna | Aetna PPO | $13.63 |
| BCBS/Anthem | BCBS Mt - Federal | $13.63 |
| BCBS/Anthem | BCBS Mt POS | $13.63 |
| BCBS/Anthem | BCBS Mt POS Exchange | $13.63 |
| Multiplan Inc | Multiplan Inc Other | $13.63 |
| Multiplan Inc | Multiplan Inc PPO | $13.63 |
| Geha | Geha | $13.93 |
| United Healthcare | Golden Rule Ins | $13.93 |
| United Healthcare | UHC Charter/Navigate | $13.93 |
| United Healthcare | UHC Exchange Plan | $13.93 |
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