Ketorolac injection, 15 mg at 62-1113167 BMH Tipton. CPT J1885.
What 62-1113167 BMH Tipton publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$0.80cash price (self-pay)
$9.78list price
$0.59–$57.03range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Local Plus | $0.59 |
| Cigna | PPO | $0.59 |
| Ar BCBS | Lppo | $0.70 |
| AR BCBS | Medicare | $0.70 |
| Devoted Health | Medicare | $0.70 |
| Aetna | Medicare | $0.72 |
| American Health Plan | Medicare | $0.72 |
| TN BCBS | Medicare | $0.72 |
| Tn BCBS | Dsnp | $0.72 |
| TN BCBS | Network E | $0.82 |
| TN BCBS | Network L | $0.82 |
| TN BCBS | Network S | $0.92 |
| Arlington Community Schools | Commercial | $1.14 |
| Bartlett City Schools | Commercial | $1.14 |
| City of Bartlett | Commercial | $1.14 |
| City of Lakeland | Commercial | $1.14 |
| Collierville Schools | Commercial | $1.14 |
| EAS MSSC Schools | Commercial | $1.14 |
| Armstrong Relocation | Commercial | $1.24 |
| Ashley Furniture Stores | Commercial | $1.24 |
| Brimhall Foods | Commercial | $1.24 |
| Building Plastic | Commercial | $1.24 |
| Burch Food Services | Commercial | $1.24 |
| Cannon Motor Company | Commercial | $1.24 |
| Carlisle | Commercial | $1.24 |
| Crittenden County | Commercial | $1.24 |
| Davidson Hospitality | Commercial | $1.24 |
| DeSoto Co Board of Supervisors | Commercial | $1.24 |
| Dunn Investment Company | Commercial | $1.24 |
| First Choice Health Plan of MS | HPN | $1.24 |
Inpatient
$0.80cash price (self-pay)
$9.78list price
$1.27–$57.03range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PPO Holdings | Commercial | $3.72 |
| Magnolia Regional Health Center | Commercial | $3.91 |
| Littler | Commercial | $4.89 |
| Magnolia TN | Exchange | $4.89 |
| Molina | Exchange | $4.89 |
| Multiplan | MPI Primary Network | $4.89 |
| Humana | PPO | $5.09 |
| First Choice Health Plan of MS | Commercial | $5.67 |
| Access Health Services | Commercial | $5.87 |
| Ar BCBS | Lppo | $5.87 |
| AR BCBS | Medicare | $5.87 |
| Butler Snow | Commercial | $5.87 |
| UHC Student Resources | Commercial | $5.87 |
| Mpcn | PPO/HMO | $7.33 |
| Multiplan | Complementary Network | $7.33 |
| NovaSys | All | $7.33 |
| PPO Plus | Commercial | $8.31 |
| QCA | All | $8.80 |
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