Ketorolac injection, 15 mg at CHI Health Lakeside. CPT J1885.

What CHI Health Lakeside publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$41.79cash price (self-pay)

$99.50list price

$0.34–$84.58range insurers pay

Insurance plan	Negotiated rate
BCBS - NE \| Medicare\|All Plans	$0.34
Humana \| Medicare\|All Plans	$0.34
Medica \| Medicare\|All Plans	$0.34
PACE \| Medicare\|All Plans	$0.34
United \| Medicare\|All Plans	$0.34
Centene \| Medicare\|All Plans	$0.35
Todays Options \| Medicare\|All Plans	$0.35
Amerigroup \| Medicare\|All Plans	$0.36
Great Plains \| Medicare\|All Plans	$0.36
BCBS - NE \| Commercial\|BluePrint	$0.70
AMPS \| Commercial\|All Plans	$0.75
BCBS - NE \| Commercial\|All Other Plans	$0.94
Medica \| Commercial\|ACO	$1.03
Medica \| Commercial\|CHI Health	$1.21
United \| Commercial\|All Plans	$1.24
Medica \| Commercial\|All Other Plans	$1.27
Greater Omaha Packing \| Commercial\|Narrow Network	$1.44
Millard Public Schools \| Commercial\|Narrow Network	$1.44
One World \| Commercial\|Narrow Network	$1.44
Amerigroup \| Medicaid\|All Plans	$1.53
Centene \| Medicaid\|IA Total Care	$1.53
IAMolina \| Medicaid\|All Plans	$1.56
Greater Omaha Packing \| Commercial\|Broad Network	$1.66
Millard Public Schools \| Commercial\|Broad Network	$1.66
One World \| Commercial\|Broad Network	$1.66
Timpte \| Commercial\|Broad Network	$1.66
Centene \| Medicaid\|NE Total Care	$15.92
United \| Medicaid\|Community Plan	$15.92
ELAP \| Commercial\|All Plans	$27.86
Medica \| Commercial\|Open Access	$51.74

$41.79cash price (self-pay)

$99.50list price

$59.70–$84.58range insurers pay

Insurance plan	Negotiated rate
QuikTrip \| Commercial\|All Plans	$59.70
PHCS \| Commercial\|All Plans	$70.65
MultiPlan \| Commercial\|All Plans	$84.58

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