Ketorolac injection, 15 mg at St. Luke's Health - Brazosport Hospital. CPT J1885.

What St. Luke's Health - Brazosport Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$11.76cash price (self-pay)

$355list price

$0.35–$453range insurers pay

Insurance plan	Negotiated rate
BCBS \| Medicare\|All Plans	$0.35
CIGNA-HEALTHSPRING \| Medicare\|All Plans	$0.35
HUMANA \| Medicare\|All Plans	$0.35
WellcareTP \| Medicare\|All Plans	$0.36
Wellpoint \| Medicare\|All Plans	$0.36
Devoted \| Medicare\|All Plans	$0.37
SCANHealth \| Medicare\|All Plans	$0.37
BCBS-TX \| Commercial\|PPO-POS	$0.40
BCBS-TX \| Commercial\|HMO	$0.42
BCBS-TX \| Commercial\|Blue Options	$0.44
BCBS-TX \| Commercial\|PPO	$0.48
BCBS-TX \| Commercial\|Traditional	$0.48
KELSEY \| Medicare\|All Plans	$0.50
UNITED \| Medicare\|All Plans	$0.50
Ambetter \| Commercial\|All Plans	$0.51
SELECTCARE \| Medicare\|All Plans	$0.52
Community Health Choice \| Commercial\|Exchange	$0.53
Wellpoint \| Commercial\|Exchange	$0.53
Aetna \| Commercial\|Exchange	$0.54
BCBS-TX \| Commercial\|Blue Advantage HMO	$0.60
Cigna \| Commercial\|All Plans	$0.78
United \| Commercial\|Exchange	$0.78
Aetna \| Medicare\|All Plans	$53.24
Entrust \| Commercial\|All Plans	$142
Health First \| Commercial\|All Plans	$177
Aetna \| Commercial\|All Other Plans	$238

$11.76cash price (self-pay)

$355list price

$11.09–$1,055range insurers pay

Insurance plan	Negotiated rate
Bright Health \| Commercial\|All Plans	$117
Cigna \| Commercial\|All Plans	$142
Entrust \| Commercial\|All Plans	$142
Health First \| Commercial\|All Plans	$177
CHC \| Medicaid\|All Other Plans	$231
CHC \| Medicaid\|CHIP	$231
Aetna \| Commercial\|All Other Plans	$256
CHC \| Medicaid\|STAR	$554

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