Ketorolac injection, 15 mg at Medical City Lewisville Hospital. CPT J1885.
What Medical City Lewisville Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$12.83cash price (self-pay)
$75.58list price
$0.33–$157range 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 |
| BCBS | Eposoa | $0.95 |
| Superior Health Plan | CHIP | $5.29 |
| Superior Health Plan | MCDSTAR | $5.29 |
| Superior Health Plan | STARHealth | $5.29 |
| Superior Health Plan | STARKids | $5.29 |
| Superior Health Plan | STARPLUS | $5.29 |
| Cigna | IFP | $10.20 |
| Cigna | QHP | $10.58 |
| United | OptionsPPO | $14.59 |
| Unicare | CHIP | $18.14 |
| Healthcare Highways | CityofPlano | $25.55 |
| BCBS | Traditional | $31.29 |
| City of McKinney | COMM | $34.01 |
| United | GlobalBenefitPlan | $34.01 |
| National ChoiceCare | WCOMP | $37.79 |
| Aetna | ASA | $38.17 |
| Aetna | WCOMP | $41.57 |
| PC Texas Partners | WCOMP | $41.57 |
| Physicians Coop of TX | MGMCR | $41.57 |
| Rockport Health Group | WORKERSCOMP | $41.57 |
| Aetna Coventry First Health | COMM | $43.31 |
| Averde Health, Inc | PPO | $43.84 |
| USC Health Services | COMM | $45.35 |
| Coastal Comp Health Networks | WCOMP | $52.91 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.