Ketorolac injection, 15 mg at Providence Medical Center. CPT J1885.
What Providence Medical Center publishes for this service, straight from its standard-charges file, last updated October 29, 2025.
Outpatient / ER
$42.75cash price (self-pay)
$45.00list price
$26.55–$51.78range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Health (Healthy Blue) | Managed Medicaid | $26.55 |
| Nebraska Total Care | Managed Medicaid | $26.55 |
| United Healthcare Community Plan | Managed Medicaid | $26.55 |
| Medica | Commercial | $40.50 |
| Aetna | Commercial | $41.40 |
| Blue Cross Blue Shield | Commercial | $42.75 |
| Ambetter | Commercial | $43.20 |
| Multiplan | Commercial | $43.20 |
| Midland's Choice | Commercial | $44.10 |
| United Healthcare | Commercial | $44.10 |
Inpatient
$42.75cash price (self-pay)
$45.00list price
$40.50–$51.78range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial | $40.50 |
| Aetna | Commercial | $41.40 |
| Ambetter | Commercial | $43.20 |
| Multiplan | Commercial | $43.20 |
| Midland's Choice | Commercial | $44.10 |
| United Healthcare | Commercial | $44.10 |
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