Ketorolac injection, 15 mg at St. David's Georgetown. CPT J1885.
What St. David's Georgetown publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$27.00cash price (self-pay)
$68.50list price
$0.26–$76.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | BlueAdvantage | $0.26 |
| BCBS | MyBlueHealth | $0.26 |
| TriWest Health Alliance | TRCR | $0.34 |
| United | NarrowNetworkHIX | $0.41 |
| BCBS | BlueEssentials | $0.41 |
| BCBS | BlueEssentialsAccess | $0.41 |
| BCBS | Eposoa | $0.44 |
| BCBS | PPO | $0.47 |
| United | AllPayerAppendix | $0.56 |
| United | SmallGroup | $0.56 |
| Amerigroup | CHIP | $3.28 |
| Amerigroup | MCD | $3.28 |
| Superior Health Plan | CHIP | $3.43 |
| Superior Health Plan | CHPFC | $3.43 |
| Superior Health Plan | STAR | $3.43 |
| Superior Health Plan | STARPLUS | $3.43 |
| Superior Health Plan | AmbetterEPO | $11.64 |
| Superior Health Plan | AmbetterHMO | $11.64 |
| Superior Health Plan | ValueHMO | $11.64 |
| United | OptionsPPO | $17.05 |
| Humana | HMO | $19.03 |
| Humana | PPO | $19.03 |
| IMO Med - Select Network | WC | $20.55 |
| BCBS | Traditional | $21.85 |
| Texas Healthcare Foundation HEB | COMM | $25.34 |
| Texas Healthcare Foundation HEB | WC | $25.34 |
| Texas Workforce Commission | WCOMP | $26.71 |
| United | GlobalBenefitPlan | $30.83 |
| Comanche County | LOCALGOV | $34.25 |
| HealthSmart Preferred Care | Accel | $37.67 |
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