Ketorolac injection, 15 mg at Mercy Hospital Tishomingo. CPT J1885.
What Mercy Hospital Tishomingo publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$24.33cash price (self-pay)
$37.43list price
$0.84–$33.69range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choice Contracted [320166] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, L | $0.84 |
| Humana Medicaid Contracted [320486] | Hb Tish Ok Medicaid (Soonercare) | $3.30 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Tish Ok Med | $3.30 |
| Medicaid [20240] | Hb Tish Ok Medicaid (Soonercare) | $3.30 |
| Aetna Medicaid Contracted [320009] | Hb Tish Ok Medicaid (Soonercare) | $3.30 |
| Blue Cross And Blue Shield [20053] | Hb Tish Blue Cross Advantage PPO | $11.98 |
| Blue Cross And Blue Shield [20053] | Hb Tish Blue Traditional | $13.85 |
| Mc Anthem [20455] | Hb Tish Blue Choice | $16.47 |
| Mc Generic Anthem [20456] | Hb Tish Blue Choice | $16.47 |
| Blue Cross And Blue Shield [20053] | Hb Tish Blue Choice | $16.47 |
| Aetna Medicare Advantage Contracted [320010] | Hb Tish Managed Medicar | $17.26 |
| BCBS Medicare Advantage Contracted [320047] | Hb Tish Managed Medicare | $17.26 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Tish Managed Medi | $17.26 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Tish Managed Medicare | $17.26 |
| Halo Hcr Inc Hospice [20432] | Hb Tish Managed Medicare 100% W/Seq | $17.26 |
| Elara Caring Aspire Hospice [20433] | Hb Tish Managed Medicare 100% W/ | $17.26 |
| Medical Associates Health [20444] | Hb Tish Managed Medicare 100% W/Se | $17.26 |
| Kindful Hospice [20434] | Hb Tish Managed Medicare 100% W/Seq | $17.26 |
| Medica Medicare Advantage [20477] | Hb Tish Medica Medicare New 031523 | $17.26 |
| Medicare [20244] | Hb Tish Medicare | $17.26 |
| Independent Health [20197] | Hb Tish Managed Medicare 100% W/Seq | $17.26 |
| Mental Health Network Medicare [20250] | Hb Tish Managed Medicare 100% | $17.26 |
| Mercy Hospice Okc [20252] | Hb Tish Managed Medicare 100% W/Seq | $17.26 |
| Windsor Medicare [20424] | Hb Tish Managed Medicare 100% W/Seq | $17.26 |
| Tricare [20380] | Hb Tish Tricare | $17.26 |
| Cross Timbers Hospice [20098] | Hb Tish Managed Medicare 100% W/Seq | $17.26 |
| Health First Health Plans Medicare [20170] | Hb Tish Managed Medicare | $17.26 |
| Horizons Medicare [20190] | Hb Tish Managed Medicare 100% W/Seq | $17.26 |
| BCBS Medicare Advantage [20047] | Hb Tish Managed Medicare 100% W/Seq | $17.26 |
| Cigna Medicare Advantage Contracted [320072] | Hb Tish Cigna Mcr W/Seq | $17.78 |
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