Ketorolac injection, 15 mg at St. David's Surgical Hospital. CPT J1885.
What St. David's Surgical Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$280cash price (self-pay)
$284list price
$0.26–$329range 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 |
| Superior Health Plan | CHIP | $14.20 |
| Superior Health Plan | CHPFC | $14.20 |
| Superior Health Plan | STAR | $14.20 |
| Superior Health Plan | STARPLUS | $14.20 |
| Superior Health Plan | AmbetterEPO | $48.28 |
| Superior Health Plan | AmbetterHMO | $48.28 |
| Superior Health Plan | ValueHMO | $48.28 |
| United | OptionsPPO | $70.72 |
| Humana | HMO | $78.90 |
| Humana | PPO | $78.90 |
| BCBS | Traditional | $83.78 |
| Texas Workforce Commission | WCOMP | $111 |
| United | GlobalBenefitPlan | $128 |
| Comanche County | LOCALGOV | $142 |
| Independent Medical Systems | COMM | $156 |
| National Health Care | COMM | $185 |
| First Health | PPO | $193 |
| Multiplan | PHCSPrimaryNetwork | $213 |
| Multiplan | ComplementaryNetwork | $241 |
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