Ketorolac injection, 15 mg at Medical City Dallas Hospital. CPT J1885.
What Medical City Dallas Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$18.76cash price (self-pay)
$29.75list price
$0.33–$40.74range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $0.56 |
| United | NarrowNetworkIndivExchange | $0.56 |
| United | SmallGroup | $0.56 |
| Superior Health Plan | CHIP | $2.08 |
| Superior Health Plan | MCDSTAR | $2.08 |
| Superior Health Plan | STARHealth | $2.08 |
| Superior Health Plan | STARKids | $2.08 |
| Superior Health Plan | STARPLUS | $2.08 |
| Optum Health | MCD | $3.27 |
| Cigna | IFP | $4.01 |
| Cigna | QHP | $4.17 |
| Religious Order of Jehovah Witness | LOGOV | $5.95 |
| Unicare | CHIP | $7.14 |
| Healthcare Highways | CityofPlano | $10.05 |
| Prominence Health Plan | HIX | $11.90 |
| BCBS | Traditional | $12.32 |
| City of McKinney | COMM | $13.38 |
| Emerging Therapy Solutions | MCR | $14.57 |
| National ChoiceCare | WCOMP | $14.88 |
| Aetna | ASA | $15.02 |
| Aetna | WCOMP | $16.37 |
| Cigna Lifesource | COMM | $16.37 |
| PC Texas Partners | WCOMP | $16.37 |
| Physicians Coop of TX | MGMCR | $16.37 |
| Rockport Health Group | WORKERSCOMP | $16.37 |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $16.66 |
| Aetna Coventry First Health | EXCLUSIVE | $17.05 |
| Aetna Coventry First Health | NONEXCLUSIVE | $17.05 |
| Averde Health, Inc | PPO | $17.25 |
| Emerging Therapy Solutions | COMM | $20.21 |
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