Ketorolac injection, 15 mg at Ward Memorial Hospital. CPT J1885.
What Ward Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$4.00cash price (self-pay)
$5.00list price
$1.00–$5.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield - Tx | VA PCCC | $1.00 |
| FirstCare | Medicare Advantage | $1.00 |
| FirstCare | Commercial | $1.00 |
| Medicare Advantage | Medicare Advantage | $1.00 |
| Superior HealthPlan | HMO | $1.00 |
| Superior HealthPlan | PPO | $1.00 |
| Blue Cross Blue Shield - Tx | Blue Advantage | $2.00 |
| Blue Cross Blue Shield - Tx | HMO | $3.00 |
| Cigna | Commercial | $3.00 |
| Blue Cross Blue Shield - Tx | PPO | $4.00 |
| Blue Cross Blue Shield - Tx | Commercial | $4.00 |
| CoreCare | Commercial | $4.00 |
| Texas True Choice | Commercial | $4.00 |
| Unicare | Commercial | $4.00 |
| Aetna | Commercial | $5.00 |
| Galaxy Health Network | Commercial | $5.00 |
| MultiPlan | PPO | $5.00 |
| USA Health Network | PPO | $5.00 |
| USC Health Services | Commercial | $5.00 |
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