Ketorolac injection, 15 mg at Boys Town National Research Hospital. CPT J1885.
What Boys Town National Research Hospital publishes for this service, straight from its standard-charges file, last updated December 29, 2025.
Outpatient / ER
$1.40cash price (self-pay)
$4.14list price
$0.48–$6.53range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nebraska Total Care | Managed Medicaid | $0.48 |
| Medica | All Products | $1.12 |
| Medica | Chi Health Network | $1.12 |
| Elap Omaha Firefighters | All Products | $2.27 |
| UHC | All Products | $2.90 |
| Aetna | All Products | $3.06 |
| First Health | All Products | $3.06 |
| Methodist | All Products | $3.11 |
| Nfm Paramount | Ne Med Employee Plan | $3.11 |
| BCBS | All Products | $3.31 |
| Health Partners | All Products | $3.31 |
| Medica | Ifb Network | $3.31 |
| Midlands Choice | All Products | $3.31 |
| Nfm Paramount | Nfm Plan | $3.31 |
| Phcs-Multiplan | All Products | $3.31 |
| BCBS | Wellmark | $3.52 |
| BCBS | Blue Select | $4.01 |
| BCBS | Blueprint | $4.01 |
| Molina Of Nebraska | Managed Medicaid | $4.14 |
| UHC | Community Medicaid | $4.14 |
Inpatient
$1.40cash price (self-pay)
$4.14list price
$0.96–$6.33range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Phcs-Multiplan | All Products | $3.52 |
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