Ketorolac injection, 15 mg at Franciscan Healthcare. CPT J1885.
What Franciscan Healthcare publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$46.74cash price (self-pay)
$48.00list price
$17.76–$53.51range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nebraska Total Care | Managed Medicaid | $18.24 |
| United Healthcare of the Midlands | Community Plan | $18.24 |
| Molina Healthcare of Nebraska | Managed Medicaid/CHIP | $18.72 |
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $21.12 |
| Humana | Medicare Advantage | $21.12 |
| Medica | Medicare Advantage | $21.12 |
| Nebraska Total Care | Medicare Products | $21.55 |
| Aetna | Medicare Advantage | $22.18 |
| Good Samaritan Insurance Plan of Nebraska | Medicare Advantage | $22.18 |
| Molina Healthcare of Nebraska | Medicare Advantage | $22.18 |
| Medica | Commercial Products | $43.68 |
| Blue Cross Blue Shield of Nebraska | Blueprint Health | $45.60 |
| Aetna Coventry | HMO | $46.08 |
| Medica | Individual and Family Business Products-Care System Products | $46.08 |
| Midlands Choice | All Plans | $46.08 |
| United Healthcare | All Commercial Plans | $46.08 |
Inpatient
$46.74cash price (self-pay)
$48.00list price
$23.37–$53.51range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare of Nebraska | Managed Medicaid/CHIP | $24.00 |
| Blue Cross Blue Shield of Nebraska | Blueprint Health | $45.60 |
| Aetna Coventry | HMO | $46.08 |
| Midlands Choice | All Plans | $46.08 |
| United Healthcare | All Commercial Plans | $46.08 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.