Ketorolac injection, 15 mg at St. Joseph Health Madison Hospital. CPT J1885.

What St. Joseph Health Madison Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$0.13cash price (self-pay)

$1.93list price

$0.10–$12.60range insurers pay

Insurance plan	Negotiated rate
BCBS-TX \| Commercial\|Blue Advantage HMO	$0.25
AETNA \| Medicare\|All Plans	$0.26
AMERIVANTAGE \| Medicare\|All Plans	$0.26
BCBS \| Medicare\|All Plans	$0.26
PGT \| Medicare\|All Plans	$0.26
UNITED \| Medicare\|All Plans	$0.26
SCANHealth \| Medicare\|All Plans	$0.28
Ambetter \| Commercial\|All Plans	$0.37
Wellpoint \| Commercial\|Exchange	$0.38
BCBS-TX \| Commercial\|Blue Premier	$0.41
BCBS-TX \| Commercial\|HMO	$0.42
BCBS-TX \| Commercial\|PPO	$0.48
Wellpoint \| Medicaid\|All Other Plans	$0.49
Wellpoint \| Medicaid\|STAR	$0.68
Bright Health \| Commercial\|All Plans	$0.73
United \| Commercial\|Exchange	$0.75
Ellwood \| Commercial\|All Plans	$0.76
Cigna \| Commercial\|Local Plus	$0.77
Entrust \| Commercial\|All Plans	$0.82
NX Health \| Commercial\|All Plans	$0.82
Health Smart \| Commercial\|All Plans	$1.06
First Health \| Commercial\|All Plans	$1.16
Humana \| Commercial\|All Plans	$1.18
Cigna \| Commercial\|All Other Plans	$1.24
United \| Commercial\|All Other Plans	$1.24
Aetna \| Commercial\|All Plans	$1.28
PHCS \| Commercial\|All Plans	$1.65
Multiplan \| Commercial\|All Plans	$1.74

$0.13cash price (self-pay)

$1.93list price

$0.25–$14.00range insurers pay

Insurance plan	Negotiated rate
Wellpoint \| Medicaid\|All Other Plans	$0.68
Wellpoint \| Medicaid\|STAR	$0.68
First Health \| Commercial\|All Plans	$1.16
Cigna \| Commercial\|All Other Plans	$1.24
Aetna \| Commercial\|All Plans	$1.28
PHCS \| Commercial\|All Plans	$1.65
Multiplan \| Commercial\|All Plans	$1.74
BCBS-TX \| Commercial\|Ref Lab	$1.93

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