Ketorolac injection, 15 mg at CAHRMC, dba Rice Medical Center. CPT J1885.
What CAHRMC, dba Rice Medical Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$10.50cash price (self-pay)
$18.29list price
$0.58–$38.04range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS HMO/Blue Essentials | HMO | $0.59 |
| BCBS PPO/Traditional | PPO | $0.62 |
| UnitedHealthcare Commercial | PPO | $5.21 |
| Cigna Commercial | PPO/HMO | $9.79 |
| Humana Medicare Advantage | Medicare Advantage | $9.88 |
| Aetna Medicare Advantage | Medicare Advantage | $9.88 |
| BCBS Medicare Advantage | Medicare Advantage | $9.98 |
| Aetna Commercial | PPO/HMO | $13.17 |
| TML Intergovernmental Employee Benefits | Unknown | $15.55 |
| Molina Medicaid | Medicaid | $18.29 |
| Superior | Medicaid | $18.29 |
Inpatient
$10.50cash price (self-pay)
$18.29list price
$1.00–$34.23range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Scott and White Medicaid | Medicaid | $1.00 |
| Wellpoint Medicaid | Medicaid | $1.00 |
| Community Health Choice Medicaid | Medicaid | $1.00 |
| Molina Medicaid | Medicaid | $1.00 |
| BCBS HMO/Blue Essentials | HMO | $10.97 |
| BCBS Blue Advantage | Blue Advantage | $10.97 |
| BCBS PPO/Traditional | PPO | $10.97 |
| Choice One Inc EPO/POS | EPO | $13.17 |
| Medavant Healthcare Solutions | Unknown | $14.63 |
| Choice One Inc PPO | PPO | $14.63 |
| Private Healthcare Systems | Unknown | $14.63 |
| ChoiceCare Network PPO, POS, Med Adv | Medicare Advantage | $14.63 |
| Accountable Health Plans of America | PPO | $15.55 |
| ProAmerica PPO | PPO | $15.55 |
| MedCorp Southwest | Unknown | $15.55 |
| Great West Healthcare of Texas | Unknown | $16.10 |
| Health Industry Trust and Welfare Plan | Unknown | $16.46 |
| Galaxy Health Network | Unknown | $16.46 |
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