Ketorolac injection, 15 mg at Stephens Memorial Hospital. CPT J1885.
What Stephens Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 24, 2026.
Outpatient / ER
$3.50cash price (self-pay)
$5.00list price
$0.18–$4.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Advantage HMO | Advantage HMO | $0.18 |
| Blue Cross PPO/POS | PPO/POS | $0.53 |
| United Healthcare Medicare Advantage | Medicare Advantage | $1.80 |
| Humana Medicare Advantage | Medicare Advantage | $1.80 |
| Cigna - HMO/PPO/POS | HMO/PPO/POS | $3.55 |
| UHC Contract - HMO/PPO/POS | HMO/PPO/POS | $3.74 |
| Blue Cross HMO | HMO | $4.00 |
| Aetna - HMO/PPO/POS | HMO/PPO/POS | $4.00 |
| Blue Cross Traditional | Traditional | $4.00 |
Inpatient
$3.50cash price (self-pay)
$5.00list price
$3.55–$4.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna - HMO/PPO/POS | HMO/PPO/POS | $3.55 |
| Blue Cross PPO/POS | PPO/POS | $4.00 |
| Blue Cross HMO | HMO | $4.00 |
| Blue Cross Traditional | Traditional | $4.00 |
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