Ketorolac injection, 15 mg at TMC Bonham Hospital. CPT J1885.
What TMC Bonham Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$40.50cash price (self-pay)
$65.00list price
$11.34–$47.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna_medicare | Medicare | $13.65 |
| Humana_choice_care | Medicare | $13.65 |
| United_healthcare | Medicare | $13.65 |
| Molina_chip | Medicaid | $16.90 |
| Superior_star_plus | Medicaid | $19.01 |
| Uhc_star_plus | Medicaid | $19.01 |
| Wellpoint_star_plus | Medicaid | $19.95 |
| Superior_star | Medicaid | $20.31 |
| Uhc_star | Medicaid | $20.31 |
| Superior_chip | Medicaid | $21.33 |
| Wellpoint | Medicaid | $21.33 |
| Ambetter | Qhp | $21.43 |
| Molina_star_plus | Medicaid | $22.14 |
| Molina_star | Medicaid | $23.66 |
| Cigna | HMO | $25.29 |
| Aetna | PPO | $33.93 |
| Blue_cross_blue_shield_of_tx | Managed_care | $40.30 |
| Blue_cross_blue_shield_of_tx | HMO | $40.30 |
| Blue_cross_blue_shield_of_tx | PPO | $40.30 |
| Blue_cross_blue_shield_of_tx | Qhp | $40.30 |
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