Ketorolac injection, 15 mg at Jefferson Community Health Center. CPT J1885.
What Jefferson Community Health Center publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
—cash price (self-pay)
$40.00list price
$7.08–$51.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Medicare Advantage | $23.60 |
| United Healthcare Medicare Advantage | Medicare Advantage | $23.60 |
| Blue Cross Medicare Advantage | Medicare Advantage | $23.60 |
| Blue Cross HIX | Health Exchange | $36.10 |
| Blue Cross HMO/PPO | HMO/PPO | $38.00 |
| United Healthcare HMO/PPO | HMO/PPO | $38.00 |
| Aetna HMO/PPO | HMO/PPO | $38.40 |
| Midlands Choice | HMO/PPO | $38.40 |
| Nebraska Total Care | Medicaid MCO | $40.00 |
| United Healthcare Medicaid | Medicaid MCO | $40.00 |
| Molina | Medicaid MCO | $40.00 |
Inpatient
—cash price (self-pay)
$40.00list price
$10.83–$48.96range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HIX | Health Exchange | $36.10 |
| Blue Cross HMO/PPO | HMO/PPO | $38.00 |
| United Healthcare HMO/PPO | HMO/PPO | $38.00 |
| Aetna HMO/PPO | HMO/PPO | $38.40 |
| Midlands Choice | HMO/PPO | $38.40 |
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