Ketorolac injection, 15 mg at Hillcrest Hospital Henryetta. CPT J1885.
What Hillcrest Hospital Henryetta publishes for this service, straight from its standard-charges file, last updated March 21, 2026.
Outpatient / ER
$9.88cash price (self-pay)
$36.58list price
$0.35–$65.87range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lucent Health [6000] | Lucent Health [600000] | $9.15 |
| Black Lung [6055] | Black Lung [605500] | $9.15 |
| Meritain Health [1655] | Meritain Health [165500] | $16.06 |
| Coventry Healthcare [1320] | Coventry [132001] | $16.06 |
| Aetna [1015] | Aetna Aco Wilco [101532] | $16.06 |
| Coresource [1315] | Coresource [131500] | $16.06 |
| Pba [1775] | Professional Benefit Admin [177500] | $20.05 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $20.05 |
| Healthpartners [1500] | Healthpartners [150000] | $20.05 |
| Cigna [1260] | Cigna [126008] | $20.05 |
| Global Health [1430] | Global Health Commercial [143000] | $22.68 |
| Multiplan [1680] | Providence Health Plan [168004] | $24.80 |
| First Health [1375] | Benveo/Ucs [137512] | $24.80 |
| Healthcare Solutions [1485] | Healthcare Solutions Group [148500] | $25.97 |
| Phcs [1780] | Lifestyle Health Plans [178013] | $29.26 |
| Group Resources [1455] | Group Resources [145004] | $29.26 |
| Community Care [1290] | Community Care Medicare Supplement [129003] | $29.26 |
| Fmh Benefit Services [1390] | Fmh [139000] | $29.26 |
| Healthsmart [1505] | Healthsmart Benefit Solutions [150503] | $31.09 |
| Phcs [1780] | Group Health Cooperative Scw [178012] | $31.46 |
| Trustmark [2030] | Starmark [203000] | $31.46 |
| Pan American Life Insurance Co [1770] | Pan American Life [177000] | $31.46 |
| New Era Life Insurance Company [1705] | Philadelphia American Life [17 | $31.46 |
| Multiplan [1680] | Ihc Hs [168011] | $31.46 |
| Healthnet [1495] | Healthnet [149500] | $31.46 |
| Administrative Concepts [1005] | Administrative Concepts [100502] | $31.46 |
| First Health [1375] | Tall Tree Administrators [137508] | $31.46 |
| Gilsbar [1425] | Gilsbar [142500] | $31.46 |
| Allied National Global Care [1035] | Allied National [103500] | $31.46 |
| Allied Benefit Systems Inc [1030] | Allied Benefit Systems [103000] | $31.46 |
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