Ketorolac injection, 15 mg at Medical Center Of Southeast Texas. CPT J1885.
What Medical Center Of Southeast Texas publishes for this service, straight from its standard-charges file, last updated September 2, 2026.
Outpatient / ER
—cash price (self-pay)
$21.95list price
$0.98–$23.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Choice CHIP | Community Health Choice CHIP | $1.26 |
| Texas Childrens Health Plan | Texas Childrens Health Plan | $1.74 |
| Molina Medicaid | Molina Medicaid | $1.83 |
| Texas Childrens Health Plan STAR KIDS | Texas Childrens Health Plan ST | $1.83 |
| United Healthcare Medicaid Star/Chips | United Healthcare Medicaid Sta | $1.90 |
| Aetna HMO | Aetna HMO | $2.84 |
| Wellpoint Amerigroup Star Kids/CHIPS | Wellpoint Amerigroup Star Kids/ | $2.87 |
| BCBS of Texas Blue Advantage HMO HIX | BCBS of Texas Blue Advantage HM | $3.12 |
| BCBS of Texas HMO | BCBS of Texas HMO | $3.12 |
| BCBS of Texas Premier | BCBS of Texas Premier | $3.12 |
| Community Health Choice STAR UHRIP | Community Health Choice STAR UHRI | $3.17 |
| Texas Childrens Health Plan Star UHRIP | Texas Childrens Health Plan S | $3.17 |
| Wellpoint Amerigroup STAR UHRIP | Wellpoint Amerigroup STAR UHRIP | $3.17 |
| BCBS of Texas PPO POS | BCBS of Texas PPO POS | $3.20 |
| Molina Healthcare STAR UHRIP | Molina Healthcare STAR UHRIP | $3.32 |
| United Healthcare STAR UHRIP | United Healthcare STAR UHRIP | $3.32 |
| Texas Childrens Health Plan STAR PLUS UHRIP | Texas Childrens Health P | $4.49 |
| Wellpoint Amerigroup STAR PLUS UHRIP | Wellpoint Amerigroup STAR PLUS | $4.49 |
| Molina Healthcare STAR PLUS UHRIP | Molina Healthcare STAR PLUS UHRIP | $4.72 |
| United Healthcare STAR PLUS UHRIP | United Healthcare STAR PLUS UHRIP | $4.72 |
| SelectCare | SelectCare | $5.49 |
| United Healthcare Commercial | United Healthcare Commercial | $7.99 |
| BCBS of Texas Traditional | BCBS of Texas Traditional | $9.07 |
| Community Health Choice HIX | Community Health Choice HIX | $10.97 |
| Molina HIX | Molina HIX | $10.97 |
| Magellan Behavioral Health | Magellan Behavioral Health | $13.17 |
| ELAP Services | ELAP Services | $13.17 |
| Cigna Commercial | Cigna Commercial | $14.27 |
| WellCare | WellCare | $14.27 |
| First Health | First Health | $15.36 |
Inpatient
—cash price (self-pay)
$21.95list price
$2.55–$23.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Commercial | Cigna Commercial | $3.29 |
| BCBS of Texas Traditional | BCBS of Texas Traditional | $9.07 |
| Magellan Behavioral Health | Magellan Behavioral Health | $13.17 |
| Phcs | Phcs | $14.27 |
| Galaxy Health Network | Galaxy Health Network | $15.36 |
| Texas Municipal League | Texas Municipal League | $15.36 |
| Multiplan | Multiplan | $17.56 |
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