Ketorolac injection, 15 mg at Saint Alphonsus Medical Center Baker City. CPT J1885.
What Saint Alphonsus Medical Center Baker City publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2.00cash price (self-pay)
$9.64list price
$0.29–$29.45range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Care Plan Medicaid Advantage | Medicaid | $6.76 |
| Medicaid - Mo | Medicaid | $6.76 |
| Cencal Health Plan | Medicaid | $6.76 |
| Geisinger Medicaid Advantage | Medicaid | $6.76 |
| Kern Family Health Plan | Medicaid | $6.76 |
| Upmc Medicaid Advantage | Medicaid | $6.76 |
| Inland Empire Health Plan | Medicaid | $6.76 |
| Centene | Medicaid | $6.76 |
| Health Plus Phsp Medicaid Adv | Medicaid | $6.76 |
| Medicaid - La | Medicaid | $6.76 |
| Medicaid - Ky | Medicaid | $6.76 |
| Medicaid - Md | Medicaid | $6.76 |
| Medicaid - Me | Medicaid | $6.76 |
| Medicaid - Mn | Medicaid | $6.76 |
| Rx Medi-Cal | Medicaid | $6.76 |
| Medicaid - MA | Medicaid | $6.76 |
| Medicaid - Ms | Medicaid | $6.76 |
| Medicaid - Mt | Medicaid | $6.76 |
| Blue Cross - NY (Anthem) Medicaid Advantage | Medicaid | $6.76 |
| Allwell Pa Health & Wellness Medicaid Advantage | Medicaid | $6.76 |
| Dscc | Medicaid | $6.76 |
| Affinity Health Plan Medicaid Advantage | Medicaid | $6.76 |
| Unity Medicaid | Medicaid | $6.76 |
| Independent Care Medicaid | Medicaid | $6.76 |
| Childrens Medical Services Title 19 | Medicaid | $6.76 |
| Childrens Medical Center Health Plan Managed Medicaid | Medicaid | $6.76 |
| Parkland Community Health Plan | Medicaid | $6.76 |
| Delta Dental Nj | Medicaid | $6.76 |
| Freedom First Healthcare | Medicaid | $6.76 |
| Wellsense Health Plan | Medicaid | $6.76 |
Inpatient
$16.10cash price (self-pay)
$16.10list price
$1.20–$16.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Paramount Medicaid Advantage | Medicaid | $1.20 |
| Id County Payette | Medicaid | $1.20 |
| Id County Cat Fund | Medicaid | $1.20 |
| Id County Canyon | Medicaid | $1.20 |
| Id County Ada | Medicaid | $1.20 |
| Cmh North Country | Medicaid | $1.20 |
| Rx Allwin | Medicare | $1.31 |
| Union Health Service | Medicare | $1.31 |
| Highmark Wholecare Medicare Advantage | Medicare | $1.31 |
| Blue Cross - Pa (Independence) Medicare Advantage | Medicare | $1.31 |
| Health America Advantra | Medicare | $1.31 |
| Provider Partners Health Plan Of Indiana | Medicare | $1.31 |
| Oscar Medicare Advantage | Medicare | $1.31 |
| Everence | Medicare | $1.31 |
| Eddy Senior Care-Pace | Medicare | $1.31 |
| Sunnyview-Pace Finance Dept | Medicare | $1.31 |
| New Centry Health Careplus | Medicare | $1.31 |
| Georgia Health Advantage | Medicare | $1.31 |
| Evercare | Medicare | $1.31 |
| Blue Shield - De (Highmark) Medciare Advantage | Medicare | $1.31 |
| Scan Health Plan Mcr Ipa Meritage Oon | Medicare | $1.31 |
| American Health Advantage Of Idaho | American Health Medicare Advantag | $1.37 |
| Wc Hartford | Workers Comp | $12.88 |
| Wc Heritage Summit | Workers Comp | $12.88 |
| Wc Evolutions | Workers Comp | $12.88 |
| Wc Zenith | Workers Comp | $12.88 |
| Wc Amerisure | Workers Comp | $12.88 |
| Blue Cross - Wy | Regence BCBS | $16.10 |
| Blue Cross - Wv (Highmark) | Regence BCBS | $16.10 |
| Blue Cross - Ia (Wellmark) | Regence BCBS | $16.10 |
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All common services at Saint Alphonsus Medical Center Baker City