Ketorolac injection, 15 mg at Medical City Arlington Hospital. CPT J1885.
What Medical City Arlington Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$44.77cash price (self-pay)
$54.03list price
$0.33–$63.29range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $0.56 |
| United | NarrowNetworkIndivExchange | $0.56 |
| United | SmallGroup | $0.56 |
| BCBS | BlueAdvantageHMO | $0.62 |
| BCBS | BlueEssentials | $0.91 |
| BCBS | BlueEssentialsAccess | $0.91 |
| Superior Health Plan | CHIP | $3.78 |
| Superior Health Plan | MCDSTAR | $3.78 |
| Superior Health Plan | STARHealth | $3.78 |
| Superior Health Plan | STARKids | $3.78 |
| Superior Health Plan | STARPLUS | $3.78 |
| Cigna | IFP | $7.29 |
| Cigna | QHP | $7.56 |
| United | OptionsPPO | $9.88 |
| Unicare | CHIP | $10.27 |
| Healthcare Highways | CityofPlano | $18.26 |
| BCBS | Traditional | $22.37 |
| City of McKinney | COMM | $24.31 |
| United | GlobalBenefitPlan | $24.31 |
| Global Sports Services | COMMPPO | $27.02 |
| National ChoiceCare | WCOMP | $27.02 |
| Aetna | ASA | $27.29 |
| Aetna | WCOMP | $29.72 |
| PC Texas Partners | WCOMP | $29.72 |
| Physicians Coop of TX | MGMCR | $29.72 |
| Rockport Health Group | WORKERSCOMP | $29.72 |
| Aetna Coventry First Health | COMM | $30.96 |
| Averde Health, Inc | PPO | $31.34 |
| Coastal Comp Health Networks | WCOMP | $37.82 |
| Mega Life | MGMCRPPO | $37.82 |
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