Ketorolac injection, 15 mg at CHI Health St. Francis. CPT J1885.
What CHI Health St. Francis publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$0.55cash price (self-pay)
$2.15list price
$0.22–$4.44range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Medicare|All Plans | $0.33 |
| Humana | Medicare|All Plans | $0.33 |
| Medica | Medicare|All Plans | $0.33 |
| United | Medicare|All Plans | $0.33 |
| Centene | Medicare|All Plans | $0.34 |
| Amerigroup | Medicare|All Plans | $0.35 |
| Great Plains | Medicare|All Plans | $0.35 |
| United | Medicaid|Community Plan | $0.50 |
| Centene | Medicaid|NE Total Care | $0.51 |
| AMPS | Commercial|All Plans | $0.73 |
| BCBS - NE | Commercial|BluePrint | $0.85 |
| BCBS - NE | Commercial|All Other Plans | $0.94 |
| Medica | Commercial|ACO | $1.03 |
| Creighton University Employees | Commercial|All Plans | $1.19 |
| Medica | Commercial|CHI Health | $1.21 |
| Medica | Commercial|All Other Plans | $1.27 |
| United | Commercial|All Plans | $1.35 |
| ELAP | Commercial|All Plans | $1.38 |
| 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 | $1.59 |
| Millard Public Schools | Commercial|Broad Network | $1.59 |
| One World | Commercial|Broad Network | $1.59 |
| Timpte | Commercial|Broad Network | $1.59 |
| Medica | Commercial|Open Access | $1.78 |
| Midlands Choice | Commercial|Premier | $1.78 |
Inpatient
$0.55cash price (self-pay)
$2.15list price
$0.52–$4.44range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Creighton University Employees | Commercial|All Plans | $1.19 |
| United | Commercial|All Plans | $1.72 |
| Medica | Commercial|Open Access | $1.78 |
| Midlands Choice | Commercial|Premier | $1.78 |
| Midlands Choice | Commercial|Standard | $2.02 |
| MultiPlan PHCS | Commercial|All Plans | $2.02 |
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