Ketorolac injection, 15 mg at Pipeline East Dallas LLC. CPT J1885.

What Pipeline East Dallas LLC publishes for this service, straight from its standard-charges file, last updated May 22, 2026.

Outpatient / ER

$87.04cash price (self-pay)

$128list price

$0.26–$92.28range insurers pay

Insurance plan	Negotiated rate
BCBS of TX \| Blue Advantage	$0.26
BCBS of TX \| Blue Essentials	$0.31
Amerigroup \| Dual Medicare/Medicaid	$0.33
Amerigroup \| Medicare	$0.33
BCBS of TX \| Medicare	$0.33
Cigna \| Medicare	$0.33
Employer Direct \| Commercial	$0.33
Humana \| Medicare/TRICARE	$0.33
Molina \| Dual Medicare/Medicaid	$0.33
Molina \| Medicare	$0.33
Scott and White \| Medicare	$0.33
Superior Health Plan \| EPO	$0.33
Superior Health Plan \| Medicare	$0.33
Universal American \| Dual Medicare/Medicaid	$0.33
Universal American \| Medicare	$0.33
Wellcare \| Medicare	$0.33
Wellmed \| Medicare	$0.33
BCBS of TX \| PPO	$0.35
Amerigroup \| CHIP/Medicaid	$11.53
Scott and White \| EPO/PPO	$64.04
Multiplan \| Auto	$83.25
Multiplan \| Commercial	$83.25
Multiplan \| Workers Comp	$83.25
Cigna \| Medicaid	$92.22
Molina \| CHIP/Medicaid	$92.22
Parkland \| Medicaid	$92.22
Superior Health Plan \| CHIP/Medicaid	$92.22

$87.04cash price (self-pay)

$128list price

$32.00–$64.08range insurers pay

Insurance plan	Negotiated rate
Cigna \| Commercial	$32.02
Scott and White \| EPO/PPO	$64.04

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