Ketorolac injection, 15 mg at Ascension Providence. CPT J1885.
What Ascension Providence publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$9.54cash price (self-pay)
$26.50list price
$0.62–$0.67range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Advantage HMO | 871_blue Cross Blue Shield Advantage HMO 20250101 | $0.62 |
| Wellpoint Star | 815_wellpoint (Amerigroup) Star Inpatient 20240901 | $0.64 |
| BCBS Star | 974_bcbs Star Inpatient 20240901 | $0.67 |
| BCBS Star | 975_bcbs Star Outpatient 20241201 | $0.67 |
| Superior Chip/Chip Perinate | 898_superior Chip Inpatient 20240901 | $0.67 |
| Superior Chip/Chip Perinate | 910_superior Chip Outpatient 20241201 | $0.67 |
| Superior Star | 817_superior Star Inpatient 20240901 | $0.67 |
| Superior Star | 904_superior Star Outpatient 20241201 | $0.67 |
| Superior Star Plus | 856_superior Star Plus Inpatient 20240901 | $0.67 |
| Superior Star Plus | 907_superior Star Plus Outpatient 20241201 | $0.67 |
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