Ketorolac injection, 15 mg at Methodist Southlake Medical Center. CPT J1885.
What Methodist Southlake Medical Center publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$6.38cash price (self-pay)
$21.25list price
$0.33–$26.72range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ust Health Proof [1005] | Mhs Hb UHC Medicare Complete Msmc | $0.33 |
| United Healthcare Medicare Managed Care [3044] | Mhs Hb UHC Medicare C | $0.33 |
| Globalhealth [1003] | Mhs Hb Global Health Msmc | $0.35 |
| Humana Commercial [2051] | Mhs Hb Humana Medicare Msmc | $0.35 |
| United Healthcare Managed Care [3021] | Mhs Hb UHC Exchange Msmc | $0.36 |
| Oscar Insurance Company [2057] | Mhs Hb Oscar HMO Msmc | $0.43 |
| Bright Healthcare [2222] | Mhs Hb Bright Health Msmc | $0.47 |
| Molina [3017] | Mhs Hb Molina Marketplace Msmc | $0.48 |
| Aetna [3000] | Mhs Hb Aetna Exchange Msmc | $0.54 |
| Aetna [3000] | Mhs Hb Aetna Cvs Msmc | $0.54 |
| Allied National [2031] | Mhs Hb 90 Degree Msmc | $0.55 |
| Entrust/90 Degree [2058] | Mhs Hb 90 Degree Msmc | $0.55 |
| Friday Health Plan [2061] | Mhs Hb Friday Health Msmc | $0.57 |
| Evry Health [1013] | Mhs Hb Evry Msmc | $0.67 |
| Champva [1000] | Mhs Hb Tricare Msmc | $0.75 |
| Tricare [1001] | Mhs Hb Tricare Msmc | $0.75 |
| BCBS [3001] | Mhs Hb BCBS My Blue Health Msmc | $0.86 |
| Healthscope Benefits [2052] | Mhs Hb Dart Member Care Msmc | $0.90 |
| Dart Member Care [3039] | Mhs Hb Dart Member Care Msmc | $0.90 |
| Aetna Commercial [2042] | Mhs Hb Aetna Texas Advantage Msmc | $1.04 |
| Aetna Managed Care [2068] | Mhs Hb Aetna Texas Advantage Msmc | $1.04 |
| Aetna Commercial [2042] | Mhs Hb Aetna TX Pref Plus II Msmc | $1.05 |
| Aetna Managed Care [2068] | Mhs Hb Aetna Whole Health Msmc | $1.05 |
| Aetna Managed Care [2068] | Mhs Hb Aetna TX Pref Plus II Msmc | $1.05 |
| Aetna [3000] | Mhs Hb Aetna HMO PPO Msmc | $1.19 |
| Web Tpa [3049] | Mhs Hb Aetna HMO PPO Msmc | $1.19 |
| BCBS [3001] | Mhs Hb BCBS High Performance Network Msmc | $1.52 |
| BCBS [3001] | Mhs Hb BCBS Premier Msmc | $1.52 |
| BCBS [3001] | Mhs Hb BCBS City Of Dallas Msmc | $1.58 |
| BCBS [3001] | Mhs Hb BCBS HMO Msmc | $1.61 |
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