Ketorolac injection, 15 mg at Sunnyview Rehabilitation Hospital. CPT J1885.
What Sunnyview Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$0.91cash price (self-pay)
$2.20list price
$0.42–$3.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Trustmark Small Business Benefits | Aetna | $1.54 |
| Unicare | Empire BCBS HMO EPO PPO Indemnity | $1.54 |
| Blue Cross - Sd (Wellmark) | Empire BCBS HMO EPO PPO Indemnity | $1.54 |
| Blue Cross - Oh (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1.54 |
| Blue Cross - Mo (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1.54 |
| Blue Cross - In (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1.54 |
| Blue Cross - Me (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1.54 |
| Blue Cross - Ga (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1.54 |
| Blue Cross - Co (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1.54 |
| Blue Cross - Ct (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1.54 |
| Aetna | Aetna | $1.54 |
| United Healthcare | Empire BCBS HMO EPO PPO Indemnity | $1.54 |
| Geha | Aetna | $1.54 |
| Meritain | Aetna | $1.54 |
| Blue Cross - Federal | Empire BCBS HMO EPO PPO Indemnity | $1.54 |
| Emblem Health | Emblem | $1.76 |
| Cigna | Mvp Commercial Products & Cigna | $1.76 |
| Allegiance | Mvp Commercial Products & Cigna | $1.76 |
| United Healthcare | United Healthcare | $1.87 |
| Phcs | Multiplan | $1.98 |
| Blue Cross - Ak (Premera) | Blue Shield Of Ne New York | $2.20 |
| Blue Cross - Az | Blue Shield Of Ne New York | $2.20 |
| Blue Cross - Ar | Blue Shield Of Ne New York | $2.20 |
| Blue Cross - Al | Blue Shield Of Ne New York | $2.20 |
| Blue Cross - Nd | Blue Shield Of Ne New York | $2.20 |
| Blue Cross - Ne | Blue Shield Of Ne New York | $2.20 |
| Blue Cross - Ks | Blue Shield Of Ne New York | $2.20 |
| Blue Cross - Mn | Blue Shield Of Ne New York | $2.20 |
| Blue Cross - Mi | Blue Shield Of Ne New York | $2.20 |
| Blue Shield - Id (Regence) | Blue Shield Of Ne New York | $2.20 |
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