Ketorolac injection, 15 mg at HSS West Side Outpatient Center. CPT J1885.
What HSS West Side Outpatient Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3.00cash price (self-pay)
$7.80list price
$0.25–$24.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield NY [1022] | BCBS Connection [102217] | $2.39 |
| Blue Cross Blue Shield NY [1022] | BCBS HMO [102207] | $3.50 |
| Blue Cross Blue Shield NY [1022] | BCBS POS [102206] | $3.50 |
| Blue Cross Blue Shield Nj [1023] | BCBS Nj PPO [102302] | $3.50 |
| Blue Cross Blue Shield NY [1022] | BCBS Federal [102202] | $3.50 |
| Blue Cross Blue Shield NY [1022] | BCBS EPO [102204] | $3.50 |
| Blue Cross Blue Shield Nj [1023] | BCBS Nj [102301] | $3.50 |
| Wellfleet [1361] | Wellfleet - Cigna [136100] | $3.71 |
| Cigna [1035] | Cigna EPO [103502] | $3.71 |
| Luminare - Cigna [1362] | Luminare - Cigna [136200] | $3.71 |
| Cigna [1035] | Local 831 [103508] | $3.71 |
| Daniel H Cook - Cigna [1339] | Daniel H Cook - Cigna [133900] | $3.71 |
| Qualcare [1101] | Qualcare [110100] | $3.71 |
| Cigna [1035] | Cigna Great West [103506] | $3.71 |
| Allied Benefit System - Cigna Network [1337] | Allied Benefit System - | $4.12 |
| Cigna [1035] | Cigna International [103507] | $4.12 |
| Emblem Health [1043] | Emblem Health Hip Exchange [104302] | $5.04 |
| Luminare - Aetna [1357] | Luminare - Aetna [135701] | $5.04 |
| Aetna [1003] | Aetna [100300] | $5.04 |
| Aetna [1003] | Aetna POS [100308] | $5.04 |
| Aetna [1003] | Aetna Geha-Asa [100311] | $5.04 |
| Connecticare [1039] | Connecticare [103900] | $5.04 |
| Emblem Health [1043] | Emblem Health Ghi [104304] | $5.04 |
| Aetna [1003] | Aetna Managed Choice [100307] | $5.04 |
| Emblem Health [1043] | Hip Prime HMO/Cmo [104313] | $5.04 |
| Nippon Life [1092] | Nippon Life [109200] | $5.04 |
| Aetna [1003] | Aetna International [100301] | $5.04 |
| Emblem Health [1043] | Emblem Ghi EPO [104303] | $5.04 |
| Aetna [1003] | Aetna HMO [100306] | $5.04 |
| Meritain Health [1085] | Meritain Health [108500] | $5.04 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.