Ketorolac injection, 15 mg at Nacogdoches Memorial Hospital. CPT J1885.
What Nacogdoches Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$8.00cash price (self-pay)
$25.00list price
$1.00–$25.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Advantange | $1.00 |
| WellMed | Medicare Advantage | $1.00 |
| HealthSpring | Medicare Advantage | $1.00 |
| Humana | Medicare Advantage | $1.00 |
| Blue Cross Blue Shield of Texas | PPO | $14.00 |
| Blue Cross Blue Shield of Texas | Commercial | $14.00 |
| Galaxy | PPO | $16.00 |
| USA Health Network | Commercial | $19.00 |
| Aetna | Commercial | $20.00 |
| Blue Cross Blue Shield of Texas | HMO | $20.00 |
| HealthSmart | Commercial | $20.00 |
| Phcs | PPO | $20.00 |
| HIET Benefit Plan | HIET | $25.00 |
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