Ketorolac injection, 15 mg at CHRISTUS Southeast Texas Jasper Memorial. CPT J1885.
What CHRISTUS Southeast Texas Jasper Memorial publishes for this service, straight from its standard-charges file, last updated January 13, 2026.
Outpatient / ER
$4.13cash price (self-pay)
$30.06list price
$0.50–$97.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MM | $0.76 |
| Allwell | Superior Health MM | $0.76 |
| Arcadian Health Plan | MM | $0.76 |
| Blue Cross Blue Shield of Texas | MM | $0.76 |
| Christus Health | Med Adv MM | $0.76 |
| Community Health Choice | Dual MM | $0.76 |
| Coventry | First Health MM | $0.76 |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | $0.79 |
| Amerigroup | MM | $0.82 |
| Devoted Health Plan | MM | $0.82 |
| American Health Medicare | Advantage MM | $0.84 |
| Blue Cross Blue Shield Of Texas | HEB | $0.87 |
| Blue Cross Blue Shield Of Texas | HMO | $0.87 |
| Blue Cross Blue Shield Of Texas | PPO | $1.00 |
| Blue Cross Blue Shield Of Texas | Traditional | $1.03 |
| Christus Health | HIX | $1.06 |
| Humana | Choicecare | $1.29 |
| Aetna | New Business | $1.34 |
| Aetna | EPO | $1.49 |
| Aetna | HMO | $1.49 |
| Aetna | POS | $1.49 |
| Aetna | PPO | $1.49 |
| ADV Cardiovas Specialist | MM | $1.52 |
| United Healthcare | HIX | $2.00 |
| United Healthcare | All Payer | $2.12 |
| Community Health Choice | Chip KM | $8.11 |
| Amerigroup | Chip KM | $8.41 |
| Amerigroup | Star KM | $8.41 |
| Amerigroup | Star Kids KM | $8.41 |
| Amerigroup | Star Plus KM | $8.41 |
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All common services at CHRISTUS Southeast Texas Jasper Memorial