Ketorolac injection, 15 mg at Baylor Scott & White Mclane Children's Medical Center. CPT J1885.
What Baylor Scott & White Mclane Children's Medical Center publishes for this service, straight from its standard-charges file, last updated June 13, 2026.
Outpatient / ER
$3.64cash price (self-pay)
$21.06list price
$0.32–$350range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $0.32 |
| CORVEL | Worker's Compensation | $0.33 |
| TriWest | Community Care Network | $0.34 |
| American Health Plan | Medicare Advantage | $0.36 |
| Blue Cross Blue Shield | Medicare Advantage | $0.36 |
| ProCare Advantage | Medicare Advantage | $0.36 |
| Mark Cuban | Commercial | $0.38 |
| United Healthcare | Medicare Advantage | $0.38 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $0.41 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $0.43 |
| Prime Health Services | Worker's Compensation | $0.43 |
| CareWorks fka Rockport | Worker's Compensation | $0.51 |
| Sedgwick | Preferred Network | $0.51 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $0.56 |
| Superior Health Plan | Medicaid | $3.16 |
| United Healthcare | Medicaid/CHIP | $3.38 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $8.61 |
| Blue Cross Blue Shield | Blue Advantage | $9.69 |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My Blue | $9.69 |
| Employers Health Network | BSWQA Direct/EHN Rental | $9.89 |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier | $10.12 |
| United Healthcare | Commercial | $10.38 |
| Cigna | Local Plus | $10.57 |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $11.16 |
| Aetna | Commercial | $11.59 |
| QuikTrip | Employee Benefit Plan | $11.59 |
| Employers Health Network | EHN Network | $11.59 |
| MidCoast | Commercial | $11.59 |
| Blue Cross Blue Shield | BlueChoice (PPO) | $11.79 |
| Imagine Health | Commercial | $12.21 |
Inpatient
$3.64cash price (self-pay)
$19.62list price
$2.73–$34.44range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $8.83 |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier | $10.40 |
| QuikTrip | Employee Benefit Plan | $11.59 |
| MidCoast | Commercial | $11.59 |
| Independent Medical System | Commercial PPO | $12.63 |
| Humana | Commercial HMO | $12.75 |
| Curative | Commercial | $13.68 |
| First Health | PPO | $14.74 |
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All common services at Baylor Scott & White Mclane Children's Medical Center