Ketorolac injection, 15 mg at SBH Health System. CPT J1885.
What SBH Health System publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$0.70cash price (self-pay)
$2.10list price
$0.21–$6.27range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MetroPlus Health | CHP/HARP/HIV SNP/Medicaid | $0.21 |
| MetroPlus Health | Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliess | $0.21 |
| SOMOS | CHP/HARP/Medicaid | $0.23 |
| SOMOS | Essential | $0.23 |
| Affinity | Essential Plan 1&2 | $0.26 |
| Affinity | Essential Plan 3&4 | $0.26 |
| Affinity | Medicaid/CHP/HARP | $0.26 |
| MetroPlus Health | Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (No | $0.26 |
| Healthfirst | CHP/FHP/Medicaid | $0.30 |
| Healthfirst | Commercial | $0.30 |
| MetroPlus Health | Commercial/Exchange/Gold Care/Medicare Advantage | $0.30 |
| Fidelis | Essential Plan Aliesa | $0.31 |
| Healthfirst | Medicare Advantage | $0.31 |
| Fidelis | Essential Plan QHP | $0.33 |
| Fidelis | CHP/HARP/Medicaid | $0.33 |
| Fidelis | Qualified Health Plan | $0.33 |
| Wellcare | CHP/FHP/Medicaid | $0.35 |
| Wellcare | Medicare | $0.35 |
| Centers Plan For Healthy Living | Dual Advantage/Medicare Advantage/Me | $0.37 |
| Fidelis | Medicare Advantage | $0.37 |
| Hamaspik Choice Inc | Medicare | $0.37 |
| Hamaspik Choice Inc | Medicaid | $0.37 |
| Healthfirst | QHP | $0.37 |
| Senior Whole Health | Medicare Advantage | $0.37 |
| Aetna | Gatekeeper/Non-Gatekeeper | $0.37 |
| Aetna | Government | $0.37 |
| EmblemHealth | Commercial | $0.37 |
| Group Health Inc | Medicare | $0.37 |
| Group Health Inc | Commercial | $0.37 |
| Elderplan | Medicare Advantage | $0.37 |
Inpatient
—cash price (self-pay)
$2.10list price
$0.37–$3.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hamaspik Choice Inc | Medicaid | $1.05 |
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