Ketorolac injection, 15 mg at Providence St Vincent Medical Center. CPT J1885.
What Providence St Vincent Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$71.09cash price (self-pay)
$94.78list price
$0.34–$2.85range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allcare | Medicare Managed Care Plan | $0.34 |
| Providence Health Plan | Medicare Managed Care Plan | $0.34 |
| Unitedhealthcare | Medicare Managed Care Plan | $0.36 |
| Careoregon | Medicare Managed Care Plan | $0.37 |
| Molina | Medicare Managed Care Plan | $0.37 |
| Providence Health Plan | Connect Other Commercial Plan | $0.38 |
| Providence Health Plan | Signature, Choice, Extended Ppo Other Commerc | $0.38 |
| Molina Healthcare | Exchange | $0.62 |
| Moda | Oebb All Commercial Plans | $0.68 |
| Moda | Non-Oebb All Commercial Plans | $1.86 |
| Unitedhealthcare | Charter Other Commercial Plan | $2.25 |
| Unitedhealthcare | Core Other Commercial Plan | $2.25 |
| Unitedhealthcare | All Payer All Commercial Plans | $2.85 |
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