Ketorolac injection, 15 mg at Mission Hospital. CPT J1885.
What Mission Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$39.74cash price (self-pay)
$63.60list price
$1.29–$59.63range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $1.29 |
| BCBS | Mgmcd | $11.68 |
| United | BHMGMCD | $11.86 |
| WellCare | MGMCD | $12.03 |
| AmeriHealth | MGMCD | $12.15 |
| Partners Health Management | MGMCD | $12.27 |
| Vaya Health | MedicaidDirect | $12.27 |
| Vaya Health | MedicaidTailoredPlan | $12.27 |
| Cigna | Hix | $21.88 |
| Cigna | Ifp | $21.88 |
| CIGNA | NewBusiness | $22.96 |
| Caresource | Hix | $27.98 |
| United | GlobalBenefitPlanAppendix | $28.62 |
| CIGNA | ExistingBusiness | $29.32 |
| MedCost | ULTRARATE | $35.83 |
| United | OptionsPPO | $37.59 |
| Aetna | COMM | $44.71 |
| Multiplan | COMM | $50.88 |
| Avalon Administrative Services | COMM | $54.06 |
| MedCost | STANDARD | $54.06 |
| Prime Health | COMM | $55.97 |
| Prime Health | WCOMP | $55.97 |
| Prime Health | INDIGENTCARE | $57.24 |
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