Ketorolac injection, 15 mg at Dimmit Regional Hospital. CPT J1885.
What Dimmit Regional Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$3.00cash price (self-pay)
$12.50list price
$2.00–$19.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $5.00 |
| Aetna | Commercial | $10.50 |
| Blue Cross Blue Shield of Texas - Blue Advantage | HMO | $10.50 |
| Blue Cross Blue Shield of Texas | Blue Essentials | $12.00 |
| Blue Cross Blue Shield of Texas | PPO | $12.00 |
| Blue Cross Blue Shield of Texas | Traditional | $12.00 |
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