Ketorolac injection, 15 mg at Northwest Texas Healthcare System. CPT J1885.
What Northwest Texas Healthcare System publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
$256list price
$0.19–$225range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_cross_blue_shield_of_tx | Advantage | $0.19 |
| Blue_cross_blue_shield_of_tx | HMO | $0.20 |
| Blue_cross_blue_shield_of_tx | Managed_care | $0.21 |
| Blue_cross_blue_shield_of_tx | PPO | $0.22 |
| Cigna | Managed_care | $0.37 |
| Aetna | Managed_care | $51.20 |
| Molina | Medicaid | $55.30 |
| First_care_chip | Medicaid | $60.83 |
| Scott_and_white_healthplan | Managed_care | $69.12 |
| Wellpoint_starkids | Medicaid | $152 |
| Amerigroup | Medicaid | $168 |
| First_care_star | Medicaid | $184 |
| Wellpoint_ Amgrp_star_plus | Medicaid | $197 |
| Superior_starkids | Medicaid | $204 |
| Multiplan | Managed_care | $205 |
| First_care_star_plus | Medicaid | $217 |
| Superior_star | Medicaid | $225 |
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