Ketorolac injection, 15 mg at St. Luke's Health - Patients Medical Center. CPT J1885.

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

Outpatient / ER

$9.93cash price (self-pay)

$28.35list price

$0.20–$28.35range insurers pay

Insurance plan	Negotiated rate
BCBS - TX \| Commercial\|MyBlue Health Exchange	$0.20
BCBS-TX \| Commercial\|Exchange	$0.22
BCBS-TX \| Commercial\|Blue Premier	$0.38
BCBS-TX \| Commercial\|HMO	$0.48
BCBS \| Medicare\|All Plans	$0.50
CIGNA-HEALTHSPRING \| Medicare\|All Plans	$0.50
HUMANA \| Medicare\|All Plans	$0.50
KELSEY \| Medicare\|All Plans	$0.50
AETNA \| Medicare\|All Plans	$0.51
UNITED \| Medicare\|All Plans	$0.51
AMERIVANTAGE \| Medicare\|All Plans	$0.52
Ambetter \| Commercial\|All Plans	$0.53
Wellpoint \| Commercial\|Exchange	$0.53
DEVOTED \| Medicare\|All Plans	$0.54
SCANHealth \| Medicare\|All Plans	$0.54
BCBS-TX \| Commercial\|PPO	$0.59
Community Health Choice \| Commercial\|Exchange	$0.75
United \| Commercial\|Exchange	$1.07
United \| Commercial\|Charter	$1.61
United \| Commercial\|HMO	$1.61
United \| Commercial\|PPO	$1.61
Cigna \| Commercial\|PPO	$2.01
Cigna \| Commercial\|HMO	$2.11
Cigna \| Commercial\|Surefit	$2.11
Cigna Lifesource \| Commercial\|Transplant	$17.01
Coventry \| Commercial\|PPO	$18.43
First Health \| Commercial\|All Plans	$18.43
Cigna \| Commercial\|Transplant	$19.85
Healthsmart \| Commercial\|PPO	$19.85
PHCS \| Commercial\|All Plans	$19.85

$9.93cash price (self-pay)

$28.35list price

$18.43–$21.27range insurers pay

Insurance plan	Negotiated rate
Coventry \| Commercial\|PPO	$18.43
First Health \| Commercial\|All Plans	$18.43
Cigna \| Commercial\|Transplant	$19.85
Healthsmart \| Commercial\|PPO	$19.85
PHCS \| Commercial\|All Plans	$19.85
MultiPlan \| Commercial\|All Plans	$21.27

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