Ketorolac injection, 15 mg at CHI Health Schuyler. CPT J1885.
What CHI Health Schuyler publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$84.58cash price (self-pay)
$99.50list price
$21.32–$113range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid|All Plans | $21.32 |
| IAMolina | Medicaid|All Plans | $21.74 |
| BCBS - NE | Medicare|All Plans | $50.75 |
| Great Plains | Medicare|All Plans | $50.75 |
| Humana | Medicare|All Plans | $50.75 |
| Medica | Medicare|All Plans | $50.75 |
| PACE | Medicare|All Plans | $50.75 |
| United | Medicare|All Plans | $50.75 |
| Centene | Medicare|All Plans | $51.76 |
| Amerigroup | Medicare|All Plans | $53.29 |
| Centene | Medicaid|NE Total Care | $56.72 |
| United | Medicaid|Community Plan | $56.72 |
| BCBS - NE | Commercial|BluePrint | $89.80 |
| Medica | Commercial|All Other Plans | $90.55 |
| Medica | Commercial|CHI Health | $90.55 |
| BCBS - NE | Commercial|All Other Plans | $94.53 |
| Greater Omaha Packing | Commercial|Broad Network | $95.52 |
| Greater Omaha Packing | Commercial|Narrow Network | $95.52 |
| Medica | Commercial|ACO | $95.52 |
| Medica | Commercial|Open Access | $95.52 |
| Midlands Choice | Commercial|Premier | $95.52 |
| Midlands Choice | Commercial|Standard | $95.52 |
| Millard Public Schools | Commercial|Broad Network | $95.52 |
| Millard Public Schools | Commercial|Narrow Network | $95.52 |
| One World | Commercial|Broad Network | $95.52 |
| One World | Commercial|Narrow Network | $95.52 |
| QuikTrip | Commercial|All Plans | $95.52 |
| Timpte | Commercial|Broad Network | $95.52 |
| United | Commercial|All Plans | $95.52 |
| MultiPlan | Commercial|All Plans | $97.51 |
Inpatient
$84.58cash price (self-pay)
$99.50list price
$89.80–$97.51range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $89.80 |
| Medica | Commercial|All Other Plans | $90.55 |
| Medica | Commercial|CHI Health | $90.55 |
| BCBS - NE | Commercial|All Other Plans | $94.53 |
| Greater Omaha Packing | Commercial|Broad Network | $95.52 |
| Greater Omaha Packing | Commercial|Narrow Network | $95.52 |
| Medica | Commercial|ACO | $95.52 |
| Medica | Commercial|Open Access | $95.52 |
| Midlands Choice | Commercial|Premier | $95.52 |
| Midlands Choice | Commercial|Standard | $95.52 |
| Millard Public Schools | Commercial|Broad Network | $95.52 |
| Millard Public Schools | Commercial|Narrow Network | $95.52 |
| One World | Commercial|Broad Network | $95.52 |
| One World | Commercial|Narrow Network | $95.52 |
| QuikTrip | Commercial|All Plans | $95.52 |
| Timpte | Commercial|Broad Network | $95.52 |
| United | Commercial|All Plans | $95.52 |
| MultiPlan | Commercial|All Plans | $97.51 |
| PHCS | Commercial|All Plans | $97.51 |
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