Ketorolac injection, 15 mg at Hca Houston Tomball. CPT J1885.
What Hca Houston Tomball publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$17.28cash price (self-pay)
$28.52list price
$0.34–$52.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Christus (USFHP) | TRICARE | $0.34 |
| TriWest Health Alliance | TRCR | $0.34 |
| BCBS | MyBlueHealth | $0.35 |
| BCBS | Bav | $0.39 |
| BCBS | Eposoa | $0.49 |
| BCBS | HMO | $0.49 |
| BCBS | PPO | $0.49 |
| United | AllPayerAppendix | $0.56 |
| United | NarrowNetworkIndivExchange | $0.56 |
| United | SmallGroup | $0.56 |
| Cigna | CSN | $0.85 |
| Cigna | OpenAccessPlus | $0.92 |
| Cigna | PPO | $1.09 |
| Superior Health Plan | CHIP | $1.71 |
| Superior Health Plan | CHPFC | $1.71 |
| Superior Health Plan | STAR | $1.71 |
| Superior Health Plan | STARKids | $1.71 |
| Superior Health Plan | STARPLUS | $1.71 |
| Community Health Choice MCD | CHIP | $3.71 |
| Community Health Choice MCD | CHIPPerinatal | $3.71 |
| Community Health Choice MCD | STAR | $3.71 |
| Community Health Choice MCD | STAR+PLUS | $3.71 |
| Amerigroup | MCDCHIPBH | $3.99 |
| Amerigroup | MGMCD | $3.99 |
| United | OptionsPPO | $4.79 |
| Humana | HMO | $9.45 |
| Humana | PPO | $9.45 |
| BCBS | Traditional | $9.98 |
| Coventry National First Health | COMM | $10.10 |
| United | GlobalAppendix | $12.83 |
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