Ketorolac injection, 15 mg at St David's Medical Center. CPT J1885.
What St David's Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$49.00cash price (self-pay)
$88.00list price
$0.26–$81.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | BlueAdvantage | $0.26 |
| United | NarrowNetworkHIX | $0.41 |
| BCBS | BlueEssentials | $0.41 |
| BCBS | BlueEssentialsAccess | $0.41 |
| BCBS | Eposoa | $0.44 |
| United | AllPayerAppendix | $0.56 |
| United | SmallGroup | $0.56 |
| Amerigroup | CHIP | $3.28 |
| Amerigroup | MCD | $3.28 |
| Superior Health Plan | CHIP | $4.40 |
| Superior Health Plan | CHPFC | $4.40 |
| Superior Health Plan | STAR | $4.40 |
| Superior Health Plan | STARPLUS | $4.40 |
| Superior Health Plan | AmbetterEPO | $14.96 |
| Superior Health Plan | AmbetterHMO | $14.96 |
| Superior Health Plan | ValueHMO | $14.96 |
| United | OptionsPPO | $21.91 |
| Humana | HMO | $24.45 |
| Humana | PPO | $24.45 |
| IMO Med - Select Network | WC | $26.40 |
| BCBS | Traditional | $28.07 |
| Texas Healthcare Foundation HEB | COMM | $32.56 |
| Texas Healthcare Foundation HEB | WC | $32.56 |
| Texas Workforce Commission | WCOMP | $34.32 |
| United | GlobalBenefitPlan | $39.60 |
| Comanche County | LOCALGOV | $44.00 |
| National ChoiceCare | WC | $44.00 |
| HealthSmart Preferred Care | Accel | $48.40 |
| Independent Medical Systems | COMM | $48.40 |
| Physicians Cooperative of Texas | WC | $48.40 |
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