Ketorolac injection, 15 mg at Mount St. Mary's Hospital. CPT J1885.
What Mount St. Mary's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1.13cash price (self-pay)
$2.97list price
$0.30–$4.34range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Surest [101154] | United Healthcare Surest [10115401 | $0.30 |
| United Healthcare Umr [100185] | United Healthcare Umr [10018501] | $0.30 |
| Univera Healthcare [100169] | Lifetime Benefit Solutions [10016902] | $0.30 |
| Univera Healthcare [100169] | Univera Article 43 [10016906] | $0.30 |
| Univera Healthcare [100169] | Univera Healthy NY [10016909] | $0.30 |
| Univera Healthcare [100169] | HMO For Individuals [10016901] | $0.30 |
| Univera Healthcare [100169] | Univera Access [10016908] | $0.30 |
| Univera Healthcare Essential [100170] | Univera Essential Plan 3 And 4 | $0.33 |
| Medicare [400001] | Medicare Part B [40000103] | $0.33 |
| Medicare Alternate Payor [888] | Medicare Part B Alternate [88801] | $0.33 |
| Medicare HMO Other [450117] | Medicare HMO Other [45011701] | $0.33 |
| Univera Healthcare Medicaid [350108] | Child Health Plus Univera Medic | $0.33 |
| Medicare HMO Other [450117] | Complete Senior Care [45011704] | $0.33 |
| BCBS Medicare [450116] | Out Of Area Medicare B/C [45011605] | $0.34 |
| Wellcare Fidelis Dual [450451] | Wellcare Fidelis Dual Plus [45045101] | $0.34 |
| BCBS Medicare [450116] | Federal Bc Over 65 [45011602] | $0.34 |
| BCBS Medicare [450116] | Medicare PPO B/C [45011601] | $0.34 |
| United Healthcare Medicare [450021] | UHC Dual Complete Lp Snp 2018 [4 | $0.35 |
| United Healthcare Medicare [450021] | UHC Medicare Advantage [45002107 | $0.35 |
| Humana Medicare [450130] | Humana Medicare HMO/POS [45013001] | $0.35 |
| United Healthcare Medicare [450021] | UHC Care Improvement Plus [45002 | $0.35 |
| United Healthcare Medicare [450021] | UHC Dual Complete Rppo-Snp [4500 | $0.35 |
| Univera Healthcare Essential [100170] | Univera Essential Plan 1 And 2 | $0.40 |
| BCBS Community Blue [100173] | POS Align Select [10017312] | $0.43 |
| Blue Cross/Blue Shield [100151] | Healthy New York Bc [10015103] | $0.43 |
| Independent Health [100165] | Iha Passport [10016507] | $0.49 |
| Independent Health Medicare [450122] | Family Choice [45012203] | $0.49 |
| Independent Health Medicare [450122] | Mcr Passport Advantage [4501220 | $0.49 |
| Iha First Choice [800001] | Iha Ch First Choice Deductible Plan [80000 | $0.49 |
| Independent Health [100165] | Iha Encompass [10016503] | $0.49 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.