Ketorolac injection, 15 mg at Golden Plains Community Hospital. CPT J1885.
What Golden Plains Community Hospital publishes for this service, straight from its standard-charges file, last updated March 16, 2026.
Outpatient / ER
$10.50cash price (self-pay)
$16.80list price
$0.21–$10.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Blue Advantage | HMO | $0.21 |
| Blue Cross Essentials HMO | HMO | $0.22 |
| Blue Cross PPO / Traditional | PPO/Traditional | $0.24 |
| Cigna | All Commercial | $3.09 |
| United Healthcare Medicare Advantage | Medicare Advantage | $3.86 |
| WellMed | Medicare Advantage | $3.86 |
| Aetna Medicare Advantage | Medicare Advantage | $3.86 |
| Humana Medicare Advantage | Medicare Advantage | $3.86 |
| Aetna | All Commercial | $10.92 |
Inpatient
$10.50cash price (self-pay)
$16.80list price
$9.00–$11.42range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Blue Advantage | HMO | $10.08 |
| Blue Cross Essentials HMO | HMO | $10.58 |
| Aetna | All Commercial | $10.92 |
| Blue Cross PPO / Traditional | PPO/Traditional | $11.42 |
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