Ketorolac injection, 15 mg at Santiam Memorial Hospital. CPT J1885.
What Santiam Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 6, 2026.
Outpatient / ER
$5.00cash price (self-pay)
$55.85list price
$0.31–$80.16range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Atrio Mcr Adv - All Plans | Atrio Mcr Adv - All Plans | $0.31 |
| UHC Mcr Adv | UHC Mcr Adv | $0.31 |
| Age Right Mcr Adv - All Plans | Age Right Mcr Adv - All Plans | $0.31 |
| Care Oregon Mcr Adv - All Plans | Care Oregon Mcr Adv - All Plans | $0.31 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $0.31 |
| Pacific Source Mcr Adv | Pacific Source Mcr Adv | $0.31 |
| Providence Mcare Adv | Providence Mcare Adv | $0.31 |
| Regence Mcr Adv - All Other Plans | Regence Mcr Adv - All Other Plans | $0.31 |
| Health Net Mcr Adv | Health Net Mcr Adv | $0.32 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $0.32 |
| Devoted Health Mcr Adv - All Plans | Devoted Health Mcr Adv - All Plan | $0.33 |
| Samaritan Mcr Adv - All Plans | Samaritan Mcr Adv - All Plans | $0.33 |
| Aetna - All Plans | Aetna - All Plans | $14.46 |
| Kaiser Mcaid | Kaiser Mcaid | $17.87 |
| Ihn Mcaid - All Plans | Ihn Mcaid - All Plans | $17.87 |
| Pacific Source Mcaid - All Other Plans | Pacific Source Mcaid - All Ot | $19.66 |
| Pacific Source Comm | Pacific Source Comm | $43.08 |
| Kaiser Comm - All Other Plans | Kaiser Comm - All Other Plans | $46.27 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $46.91 |
| Cigna - All Plans | Cigna - All Plans | $47.08 |
| Moda Comm - All Other Plans | Moda Comm - All Other Plans | $47.47 |
| Health Net Comm - All Other Plans | Health Net Comm - All Other Plans | $53.06 |
| First Choice - All Plans | First Choice - All Plans | $53.06 |
| Multiplan - All Other Plans | Multiplan - All Other Plans | $53.06 |
| Regence Comm | Regence Comm | $55.85 |
| Providence Comm - All Other Plans | Providence Comm - All Other Plans | $64.23 |
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