Ketorolac injection, 15 mg at Ochiltree General Hospital. CPT J1885.
What Ochiltree General Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$7.00cash price (self-pay)
$10.00list price
$5.00–$47.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $5.00 |
| Humana | Medicare Advantage | $5.00 |
| Superior Health Plan | Commercial | $5.00 |
| Aetna | Commercial | $9.00 |
| Blue Cross Blue Shield of Texas | PPO | $9.00 |
| Blue Cross Blue Shield of Texas | Commercial | $9.00 |
| Cigna | Commercial | $9.00 |
| FirstCare | Commercial | $9.00 |
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