Ketorolac injection, 15 mg at Hca Houston Northwest. CPT J1885.
What Hca Houston Northwest publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$26.61cash price (self-pay)
$31.69list price
$0.34–$52.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Christus (USFHP) | TRICARE | $0.34 |
| TriWest Health Alliance | TRCR | $0.34 |
| BCBS | MyBlueHealth | $0.35 |
| BCBS | Eposoa | $0.49 |
| BCBS | HMO | $0.49 |
| BCBS | PPO | $0.49 |
| United | AllPayerAppendix | $0.56 |
| United | NarrowNetworkIndivExchange | $0.56 |
| United | SmallGroup | $0.56 |
| BCBS | Bav | $0.61 |
| Cigna | CSN | $0.85 |
| Cigna | OpenAccessPlus | $0.92 |
| Cigna | PPO | $1.09 |
| Superior Health Plan | CHIP | $1.90 |
| Superior Health Plan | CHPFC | $1.90 |
| Superior Health Plan | STAR | $1.90 |
| Superior Health Plan | STARKids | $1.90 |
| Superior Health Plan | STARPLUS | $1.90 |
| Community Health Choice MCD | CHIP | $4.12 |
| Community Health Choice MCD | CHIPPerinatal | $4.12 |
| Community Health Choice MCD | STAR | $4.12 |
| Community Health Choice MCD | STAR+PLUS | $4.12 |
| Amerigroup | MCDCHIPBH | $4.44 |
| Amerigroup | MGMCD | $4.44 |
| United | OptionsPPO | $5.32 |
| Humana | HMO | $10.50 |
| Humana | PPO | $10.50 |
| BCBS | Traditional | $11.09 |
| United | GlobalAppendix | $14.26 |
| Coventry National First Health | COMM | $16.42 |
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