Ketorolac injection, 15 mg at Medical City Fort Worth Hospital. CPT J1885.
What Medical City Fort Worth Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$79.01cash price (self-pay)
$83.47list price
$0.33–$104range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $0.56 |
| United | NarrowNetworkIndivExchange | $0.56 |
| United | SmallGroup | $0.56 |
| Superior Health Plan | CHIP | $5.84 |
| Superior Health Plan | MCDSTAR | $5.84 |
| Superior Health Plan | STARHealth | $5.84 |
| Superior Health Plan | STARKids | $5.84 |
| Superior Health Plan | STARPLUS | $5.84 |
| Cigna | IFP | $11.27 |
| Cigna | QHP | $11.69 |
| United | OptionsPPO | $15.28 |
| Unicare | CHIP | $18.36 |
| Healthcare Highways | CityofPlano | $28.21 |
| BCBS | Traditional | $34.56 |
| City of McKinney | COMM | $37.56 |
| United | GlobalBenefitPlan | $37.56 |
| Emerging Therapy Solutions | MGMCR | $40.90 |
| National ChoiceCare | WCOMP | $41.73 |
| Aetna | ASA | $42.15 |
| Cigna Lifesource | COMM | $44.24 |
| Aetna | WCOMP | $45.91 |
| PC Texas Partners | WCOMP | $45.91 |
| Physicians Coop of TX | MGMCR | $45.91 |
| Rockport Health Group | WORKERSCOMP | $45.91 |
| Aetna Coventry First Health | EXCLUSIVE | $47.83 |
| Aetna Coventry First Health | NONEXCLUSIVE | $47.83 |
| Averde Health, Inc | PPO | $48.41 |
| Emerging Therapy Solutions | Commercial | $55.92 |
| Coastal Comp Health Networks | WCOMP | $58.43 |
| Mega Life | MGMCRPPO | $58.43 |
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