Ketorolac injection, 15 mg at St. Charles Madras. CPT J1885.
What St. Charles Madras publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3.20cash price (self-pay)
$89.62list price
$0.07–$89.62range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MODA MEDICAID [528] | Eastern Oregon CCO | $0.20 |
| UMPQUA HEALTH [533] | Oregon Medicaid CCO | $0.20 |
| JACKSON CARE CONNECT [542] | Oregon Medicaid CCO | $0.20 |
| HEALTH SHARE KAISER [543] | Oregon Medicaid CCO | $0.20 |
| WILLAMETTE VALLEY COMMUNITY HEALTH [536] | Oregon Medicaid CCO | $0.20 |
| TRILLIUM MEDICAID [535] | Oregon Medicaid CCO | $0.20 |
| YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $0.20 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Central Oregon | $0.28 |
| OTJ US DEPARTMENT OF LABOR [669] | US Dept of Labor | $0.42 |
| KAISER PERMANENTE [334] | OEBB PEBB Non-Contracted | $0.62 |
| MODA [310] | Moda OEBB PEBB | $0.67 |
| UNITEDHEALTHONE [401] | United Healthcare | $1.08 |
| MEDICARE AB REBILL ALT PAYER [175] | Medicare | $21.51 |
| Law Enforcement [701] | Schs Smh Hb Law Enforcement | $21.51 |
| HEALTH MARKET CARE ASSURED [134] | Medicare | $21.51 |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | Medicare | $21.51 |
| HEALTH NET MED ADV [135] | Medicare | $21.51 |
| ATRIO HEALTH MEDICARE [138] | Medicare | $21.51 |
| PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $22.67 |
| PACIFICSOURCE [345] | PacificSource Voyager | $35.85 |
| PACIFICSOURCE [345] | PacificSource Navigator Group | $49.02 |
| PROVIDENCE HEALTH PLAN [347] | Providence Health Plan Individual | $62.73 |
| ROCKY MOUNTAIN ADMINISTRATORS [405] | Rocky Mountain Administrators | $71.70 |
| MODA [310] | Moda Synergy | $77.07 |
| MODA [310] | Moda Connexus | $77.07 |
| MERITAIN HEALTH [300] | Aetna | $77.97 |
| HEALTH NET [340] | Health Net | $84.24 |
| PLANNED ADMINISTRATORS INC [375] | First Health | $87.83 |
| AUTO DAIRYLAND INSURANCE [617] | Auto Insurance | $89.62 |
| OTJ CCMSI [618] | Oregon Workers Compensation | $89.62 |
Inpatient
$71.70cash price (self-pay)
$89.62list price
—range insurers pay
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