Ketorolac injection, 15 mg at Southern Coos Hospital & Health Center. CPT J1885.
What Southern Coos Hospital & Health Center publishes for this service, straight from its standard-charges file, last updated June 19, 2026.
Outpatient / ER
$22.05cash price (self-pay)
$22.05list price
$12.81–$20.95range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare West - All Plans | Tricare West - All Plans | $12.81 |
| Advanced Health - All Plans | Advanced Health - All Plans | $13.89 |
| Confederated Tribes - All Plans | Confederated Tribes - All Plans | $14.55 |
| Aetna Mcr Adv | Aetna Mcr Adv | $14.55 |
| Atrio Mcr Adv - Allplans | Atrio Mcr Adv - Allplans | $14.55 |
| Moda Mcr Adv | Moda Mcr Adv | $14.55 |
| Pacific Source Mcr Adv | Pacific Source Mcr Adv | $14.55 |
| Cigna - All Plans | Cigna - All Plans | $17.42 |
| Healthnet - All Plans | Healthnet - All Plans | $18.30 |
| Moda Health Plan - All Other Plans | Moda Health Plan - All Other Plan | $19.62 |
| Aetna - All Other Plans | Aetna - All Other Plans | $19.85 |
| Prov Netwrk Of America - All Plans | Prov Netwrk Of America - All Plan | $19.85 |
| Three Rivers - All Plans | Three Rivers - All Plans | $19.85 |
| UHC - All Plans | UHC - All Plans | $19.85 |
| First Choice - All Plans | First Choice - All Plans | $20.29 |
| Multiplan - All Plans | Multiplan - All Plans | $20.51 |
| Blue Cross - All Plans | Blue Cross - All Plans | $20.51 |
| First Health - All Plans | First Health - All Plans | $20.95 |
| Providence Preferred - All Plans | Providence Preferred - All Plans | $20.95 |
| Pacific Source - All Other Plans | Pacific Source - All Other Plans | $20.95 |
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All common services at Southern Coos Hospital & Health Center