Ketorolac injection, 15 mg at Lake Granbury Medical Center. CPT J1885.
What Lake Granbury Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$20.70cash price (self-pay)
$115list price
$6.90–$195range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE Aetna CHIP Medicaid TX | NODE Aetna CHIP Medicaid TX | $15.64 |
| NODE Cook Childrens Health Plan CHIP Medicaid TX | NODE Cook Childrens | $15.64 |
| Medicaid | NODE TX Medicaid | $15.64 |
| NON PAR TX Medicaid | NODE TX Medicaid NON PAR | $15.64 |
| NODE UHC CHIP/STAR KIDS Medicaid TX | NODE UHC CHIP Medicaid TX | $15.64 |
| NODE UHC STAR KIDS Medicaid TX | NODE UHC STAR KIDS Medicaid TX | $15.64 |
| NODE UHC STAR Medicaid TX | NODE UHC STAR Medicaid TX | $15.64 |
| Healthspring | NODE Cigna Healthspring Medicaid TX | $16.42 |
| NODE Molina CHIP Medicaid TX | NODE Molina CHIP Medicaid TX | $16.42 |
| NODE Molina Medicaid TX | NODE Molina STAR Medicaid TX | $16.42 |
| Amerigroup | NODE Wellpoint CHIP Medicaid TX | $16.42 |
| Amerigroup | NODE Wellpoint STAR KIDS Medicaid TX | $16.42 |
| NODE Superior CHIP/STAR KIDS/ STAR HEALTH Medicaid TX | NODE Superior | $17.99 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $17.99 |
| Superior | NODE Superior STAR Medicaid TX | $17.99 |
| NODE Superior STAR PLUS Medicaid TX | NODE Superior STAR PLUS Medicaid | $17.99 |
| NODE Aetna STAR KIDS Medicaid TX | NODE Aetna STAR KIDS Medicaid TX | $21.27 |
| NODE Cook Childrens Health Plan STAR KIDS Medicaid TX | NODE Cook Chil | $21.27 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $28.98 |
| Cigna | Cigna New Business | $29.21 |
| Cigna | Cigna ALL | $45.31 |
| United Healthcare | NODE UHC STAR PLUS Medicaid TX | $48.48 |
| NODE Molina STAR PLUS Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $50.90 |
| Aetna | Aetna Whole Health | $52.33 |
| Aetna | Aetna NBD | $55.20 |
| Aetna | NODE Aetna STAR Medicaid TX | $56.30 |
| NODE Cook Childrens Health Plan Medicaid TX | NODE Cook Childrens Heal | $56.30 |
| NODE Wellpoint STAR Medicaid TX | NODE Wellpoint STAR Medicaid TX | $59.11 |
| Aetna | Aetna PPO HMO | $61.53 |
| Healthsmart | Healthsmart ACCEL | $63.25 |
Inpatient
$31.05cash price (self-pay)
$115list price
$12.65–$195range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $12.65 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $28.98 |
| Cigna | Cigna New Business | $29.21 |
| United Healthcare | UHC APA | $48.89 |
| Aetna | Aetna Whole Health | $52.33 |
| Aetna | Aetna NBD | $55.20 |
| Aetna | Aetna PPO HMO | $61.53 |
| Healthsmart | Healthsmart ACCEL | $63.25 |
| Aetna | Aetna NAB First Health Rental | $65.43 |
| Aetna | Aetna Auto | $79.01 |
| Healthsmart | Healthsmart PPO HPO | $80.50 |
| Santa Fe Hospital Association | Santa Fe Hospital Association | $92.00 |
| Multiplan | Multiplan Complementary | $101 |
| Galaxy Health | Galaxy Health PPO | $109 |
| MedCorp Southwest | MedCorp Southwest | $109 |
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