Ketorolac injection, 15 mg at Ascension Saint Thomas West. CPT J1885.
What Ascension Saint Thomas West publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1.76cash price (self-pay)
$21.55list price
$0.84–$1.81range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Compass/Exchange | 3165_mttn UHC Exchange 20250715 | $0.84 |
| Cigna Surefit | 2862_sttn Cigna Surefit 20241001 | $0.94 |
| UHC | 3171_mttn UHC 20250715 | $1.01 |
| UHC | 3172_rptn UHC 20250715 | $1.01 |
| UHC | 3175_thtn UHC 20250715 | $1.01 |
| UHC | 3174_sdtn UHC 20250715 | $1.01 |
| UHC | 3176_uhc (Sttn) 20250715 | $1.01 |
| Cigna HMO | 3197_thtn Cigna HMO 20250601 | $1.16 |
| Cigna Localplus | 3191_rptn Cigna Localplus 20250601 | $1.16 |
| Cigna Localplus | 3194_thtn Cigna Localplus 20250601 | $1.16 |
| Cigna PPO | 3200_thtn Cigna PPO 20250601 | $1.16 |
| Aetna (Rutherford Only) | 3160_mttn Aetna 20250701 | $1.76 |
| UHC Compass/Exchange | 3169_sdtn UHC Compass 20250715 | $1.78 |
| UHC Compass/Exchange | 3170_thtn UHC Compass 20250715 | $1.78 |
| Aetna | 3159_sttn Aetna 20250701 | $1.81 |
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