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Ketorolac injection, 15 mg at St. Peters Health Partners. CPT J1885.

What St. Peters Health Partners publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$3.00cash price (self-pay)
$3.00list price
$0.29–$22,301range insurers pay
Insurance planNegotiated rate
Capital District Physicians Health Medicaid Advantage | Cdphp Medicaid$0.33
United Healthcare Medicaid | United Healthcare Medicaid Harp Chip$0.71
United Healthcare Medicaid | UHC Essential Plan Medicaid$2.42
Blue Cross - La | Blue Shield Of Ne New York PPO$10.56
Blue Shield - Id (Regence) | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Id | Blue Shield Of Ne New York PPO$10.56
Blue Cross - FL | Blue Shield Of Ne New York HMO$10.56
Blue Cross - FL | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Dc (Carefirst) | Blue Shield Of Ne New York PPO$10.56
Blue Shield - NY Highmark Northeastern | Blue Shield Of Ne New York Pp$10.56
Blue Cross - Nm | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Nj (Horizon) | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Nj (Horizon) | Blue Shield Of Ne New York HMO$10.56
Blue Cross - De (Highmark) | Blue Shield Of Ne New York PPO$10.56
Blue Shield - NY Highmark Western | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Mt | Blue Shield Of Ne New York PPO$10.56
Blue Shield - NY Highmark Northeastern | Blue Shield Of Ne New York Hm$10.56
Blue Shield - CA | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Pa (Independence) | Blue Shield Of Ne New York HMO$10.56
Blue Cross - Ar | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Az | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Ak (Premera) | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Pa (Independence) | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Hi | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Al | Blue Shield Of Ne New York PPO$10.56
BCBS Generic | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Wy | Blue Shield Of Ne New York PPO$10.56
Blue Cross - Wv (Highmark) | Blue Shield Of Ne New York PPO$10.56
Blue Shield - Wa (Regence) | Blue Shield Of Ne New York PPO$10.56
Blue Cross - NY (Excellus) Medicaid Advantage | Empire Medicaid Essent$12.05

Inpatient

$27.55cash price (self-pay)
$27.55list price
$1.15–$27.55range insurers pay
Insurance planNegotiated rate
The Health Plan | Pb Xr 100% Default$27.55
Dentaquest | Pb Xr 100% Default$27.55
Health Choices | Pb Xr 100% Default$27.55
Harvard Pilgrim Healthcare | Pb Xr 100% Default$27.55
Union Health Service | Pb Xr 100% Default$27.55
Molina Medicare Advantage | Pb Xr 100% Default$27.55
Pace Of Southwest Michigan | Pb Xr 100% Default$27.55
Commonwealth Care Alliance | Pb Xr 100% Default$27.55
Rx Allwin | Pb Xr 100% Default$27.55
Everence | Pb Xr 100% Default$27.55
Wc Yankee Trails | Pb Xr 100% Default$27.55
Correctional Recovery | Pb Xr 100% Default$27.55
Selecthealth | Pb Xr 100% Default$27.55
Community Care Plan | Pb Xr 100% Default$27.55
Community Benefit Health | Pb Xr 100% Default$27.55
Hospice Of St Joseph County | Pb Xr 100% Default$27.55
Wc Medical Administrators | Pb Xr 100% Default$27.55
Rx Transamerica | Pb Xr 100% Default$27.55
Community Health Alliance | Pb Xr 100% Default$27.55
Sagamore Health Network | Pb Xr 100% Default$27.55
Community Care Associates | Pb Xr 100% Default$27.55
Blue Cross - NY (Anthem) Medicaid Advantage | Pb Xr 100% Default$27.55
Wc Winnebago Industries | Pb Xr 100% Default$27.55
Hospice Emmanuel | Pb Xr 100% Default$27.55
Wc Intermountain | Pb Xr 100% Default$27.55
Wc Price Chopper | Pb Xr 100% Default$27.55
Rx Cmh Discharge | Pb Xr 100% Default$27.55
Illinicare Health Medicaid Advantage | Pb Xr 100% Default$27.55
Employee Benefit Logistic | Pb Xr 100% Default$27.55
Wc Aetna | Pb Xr 100% Default$27.55
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All common services at St. Peters Health Partners