Ketorolac injection, 15 mg at CHI Health St. Mary's. CPT J1885.
What CHI Health St. Mary's publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$0.78cash price (self-pay)
$2.15list price
$0.20–$4.54range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid|All Plans | $0.46 |
| IAMolina | Medicaid|All Plans | $0.47 |
| BCBS - NE | Medicare|All Plans | $0.86 |
| Humana | Medicare|All Plans | $0.86 |
| Medica | Medicare|All Plans | $0.86 |
| PACE | Medicare|All Plans | $0.86 |
| United | Medicare|All Plans | $0.86 |
| Centene | Medicare|All Plans | $0.88 |
| Centene | Medicaid|NE Total Care | $0.89 |
| United | Medicaid|Community Plan | $0.89 |
| Amerigroup | Medicare|All Plans | $0.91 |
| Great Plains | Medicare|All Plans | $0.91 |
| AMPS | Commercial|All Plans | $1.91 |
| BCBS - NE | Commercial|BluePrint | $1.94 |
| Medica | Commercial|All Other Plans | $1.96 |
| Medica | Commercial|CHI Health | $1.96 |
| BCBS - NE | Commercial|All Other Plans | $2.04 |
| MultiPlan PHCS | Commercial|All Plans | $2.04 |
| Greater Omaha Packing | Commercial|Broad Network | $2.06 |
| Greater Omaha Packing | Commercial|Narrow Network | $2.06 |
| Medica | Commercial|ACO | $2.06 |
| Medica | Commercial|Open Access | $2.06 |
| Midlands Choice | Commercial|Premier | $2.06 |
| Midlands Choice | Commercial|Standard | $2.06 |
| Millard Public Schools | Commercial|Broad Network | $2.06 |
| Millard Public Schools | Commercial|Narrow Network | $2.06 |
| One World | Commercial|Broad Network | $2.06 |
| One World | Commercial|Narrow Network | $2.06 |
| Timpte | Commercial|Broad Network | $2.06 |
| United | Commercial|All Plans | $2.06 |
Inpatient
$0.78cash price (self-pay)
$2.15list price
$0.85–$4.54range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $1.94 |
| Medica | Commercial|All Other Plans | $1.96 |
| Medica | Commercial|CHI Health | $1.96 |
| BCBS - NE | Commercial|All Other Plans | $2.04 |
| MultiPlan PHCS | Commercial|All Plans | $2.04 |
| Greater Omaha Packing | Commercial|Broad Network | $2.06 |
| Greater Omaha Packing | Commercial|Narrow Network | $2.06 |
| Medica | Commercial|ACO | $2.06 |
| Medica | Commercial|Open Access | $2.06 |
| Midlands Choice | Commercial|Premier | $2.06 |
| Midlands Choice | Commercial|Standard | $2.06 |
| Millard Public Schools | Commercial|Broad Network | $2.06 |
| Millard Public Schools | Commercial|Narrow Network | $2.06 |
| One World | Commercial|Broad Network | $2.06 |
| One World | Commercial|Narrow Network | $2.06 |
| Timpte | Commercial|Broad Network | $2.06 |
| United | Commercial|All Plans | $2.06 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.