Ketorolac injection, 15 mg at St. Luke's Health - Springwoods Village Hospital. CPT J1885.
What St. Luke's Health - Springwoods Village Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$18.86cash price (self-pay)
$57.34list price
$0.20–$76.74range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS-TX | Commercial|MyBlue Health Exchange | $0.20 |
| BCBS-TX | Commercial|Exchange | $0.22 |
| Renaissance | Commercial|All Plans | $0.25 |
| BCBS-TX | Commercial|Blue Premier | $0.38 |
| KelseyCare | Commercial|Exchange | $0.47 |
| BCBS-TX | Commercial|HMO | $0.48 |
| Cigna | Commercial|All Other Plans | $0.53 |
| Community Health Choice | Commercial|Exchange | $0.53 |
| Superior Health Plan | Commercial|All Plans | $0.53 |
| BCBS-TX | Commercial|PPO | $0.59 |
| United | Commercial|Exchange | $1.07 |
| NXHealth | Commercial|All Plans | $1.14 |
| 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 |
| Aetna-Kelsey Care | Commercial|HMO | $12.62 |
| Aetna | Commercial|HMO | $14.91 |
| Aetna | Commercial|PPO | $14.91 |
| Aetna | Commercial|Transplant | $18.35 |
| United | Commercial|Optum | $26.95 |
| Humana | Commercial|HMO | $27.53 |
| Humana | Commercial|PPO | $27.53 |
| KelseyCare | Commercial|All Other Plans | $28.10 |
| CHC | Medicaid|CHIP | $31.54 |
| CHC | Medicaid|HMO | $31.54 |
| Cigna Lifesource | Commercial|Transplant | $34.41 |
| Independent Med System | Commercial|All Plans | $34.41 |
| Coventry | Commercial|PPO | $37.28 |
Inpatient
$18.86cash price (self-pay)
$57.34list price
$11.85–$76.74range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $12.62 |
| Aetna | Commercial|HMO | $14.91 |
| Aetna | Commercial|PPO | $14.91 |
| United | Commercial|Exchange | $14.91 |
| Aetna | Commercial|Transplant | $18.35 |
| Bright Health | Commercial|All Plans | $18.93 |
| Cigna | Commercial|HMO | $20.65 |
| Cigna | Commercial|PPO | $20.65 |
| Cigna | Commercial|Surefit | $20.65 |
| United | Commercial|HMO | $21.79 |
| United | Commercial|PPO | $21.79 |
| TCHPCHIP | Medicaid|HMO | $24.66 |
| KelseyCare | Commercial|All Other Plans | $28.10 |
| CHC | Medicaid|CHIP | $31.54 |
| CHC | Medicaid|HMO | $31.54 |
| TEXASTRUECHOICE | Medicaid|CHIP | $31.54 |
| Independent Med System | Commercial|All Plans | $34.41 |
| Coventry | Commercial|PPO | $37.28 |
| First Health | Commercial|All Plans | $37.28 |
| Cigna | Commercial|Transplant | $40.14 |
| Healthsmart | Commercial|PPO | $40.14 |
| Interlink | Commercial|Transplant | $40.14 |
| PHCS Savility | Commercial|PPO | $40.14 |
| PHCS | Commercial|All Plans | $40.14 |
| Healthsmart | Commercial|AP3-PPO | $41.29 |
| MultiPlan | Commercial|All Plans | $43.01 |
| USA Health Network | Commercial|All Plans | $48.74 |
| MHealth Network | Commercial|PPO | $57.34 |
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All common services at St. Luke's Health - Springwoods Village Hospital