Ketorolac injection, 15 mg at Medical City Sachse Hospital. CPT J1885.
What Medical City Sachse Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$39.69cash price (self-pay)
$40.44list price
$0.34–$35.01range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriWest Health Alliance | TRCR | $0.34 |
| United | AllPayerAppendix | $0.56 |
| United | NarrowNetworkIndivExchange | $0.56 |
| United | SmallGroup | $0.56 |
| BCBS | BlueAdvantageHMO | $0.62 |
| BCBS | MyBlueHealth | $0.62 |
| BCBS | BlueEssentials | $0.91 |
| BCBS | BlueEssentialsAccess | $0.91 |
| BCBS | Eposoa | $0.95 |
| BCBS | PPO | $1.00 |
| Cigna | LocalPlus | $2.12 |
| Cigna | NewBusiness | $2.12 |
| Cigna | HMO | $2.37 |
| Cigna | NetworkBenefit | $2.37 |
| Cigna | OpenAccessPlus | $2.37 |
| Superior Health Plan | CHIP | $2.83 |
| Superior Health Plan | MCDSTAR | $2.83 |
| Superior Health Plan | STARHealth | $2.83 |
| Superior Health Plan | STARKids | $2.83 |
| Superior Health Plan | STARPLUS | $2.83 |
| Cigna | AllOther | $2.99 |
| Cigna | IFP | $5.46 |
| Cigna | QHP | $5.66 |
| United | OptionsPPO | $6.83 |
| Healthcare Highways | CityofPlano | $13.67 |
| BCBS | Traditional | $16.74 |
| United | GlobalBenefitPlan | $18.20 |
| Aetna | ASA | $20.42 |
| Aetna Coventry First Health | EXCLUSIVE | $23.78 |
| Aetna Coventry First Health | NONEXCLUSIVE | $23.78 |
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