Ketorolac injection, 15 mg at Texoma Medical Center Behavioral Health Center. CPT J1885.
What Texoma Medical Center Behavioral Health Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$52.50cash price (self-pay)
$73.00list price
$0.19–$60.75range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_cross_blue_shield_of_tx | HMO | $0.19 |
| Blue_cross_blue_shield_of_tx | Qhp | $0.19 |
| Blue_cross_blue_shield_of_tx | PPO | $0.20 |
| Healthchoice | Managed_care | $0.57 |
| Superior | Medicaid | $5.78 |
| Molina | Medicaid | $6.07 |
| Tchp Star | Medicaid | $6.62 |
| Superior Hlth Str Pls | Medicaid | $12.14 |
| UHC Star Plus | Medicaid | $12.14 |
| Wellpt Amgrp Str Pls | Medicaid | $12.14 |
| Molina Star Plus | Medicaid | $12.75 |
| Wellpoint Starkids | Medicaid | $13.47 |
| Aetna | Managed_care | $18.61 |
| Coventry_healthfirst | Managed_care | $18.98 |
| Amerigroup | Medicaid | $20.35 |
| Superior Star | Medicaid | $20.35 |
| UHC Star | Medicaid | $20.35 |
| Tchp | Medicaid | $21.37 |
| Multiplan | Managed_care | $38.91 |
| Humana | Managed_care | $42.56 |
| Healthsmart | Managed_care | $54.75 |
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All common services at Texoma Medical Center Behavioral Health Center