Ketorolac injection, 15 mg at Grant County Public Hospital District 1 dba Samaritan. CPT J1885.
What Grant County Public Hospital District 1 dba Samaritan publishes for this service, straight from its standard-charges file, last updated January 4, 2026.
Outpatient / ER
$4.00cash price (self-pay)
$40.75list price
$2.22–$273range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ameribens Solutions [508] | Hb Cc Wsa Premera First Network & Fed Emp | $25.27 |
| BCBS Mt [1266] | Hb Cc Wsa Premera First Network & Fed Emp | $25.27 |
| BCBS [1263] | Hb Cc Wsa Premera First Network & Fed Emp | $25.27 |
| Blue Cross Id [1265] | Hb Cc Wsa Premera First Network & Fed Emp | $25.27 |
| Inland Emp Teamstrs Tr [1305] | Hb Cc Wsa Premera First Network & Fed | $25.27 |
| Inlandboatmens Union Trust [2687] | Hb Cc Wsa Premera First Network & | $25.27 |
| Lifewise [1108] | Hb Cc Wsa Premera First Network & Fed Emp | $25.27 |
| Lineco [1931] | Hb Cc Wsa Premera First Network & Fed Emp | $25.27 |
| Nw Ironworkers [1645] | Hb Cc Wsa Premera First Network & Fed Emp | $25.27 |
| Nw Plumbing Pipefitters [1331] | Hb Cc Wsa Premera First Network & Fed | $25.27 |
| Nw Roofers Emp Hlt Sec Trst [1615] | Hb Cc Wsa Premera First Network & | $25.27 |
| First Choice Health Admin [1294] | Hb Cc Wsa Firstchoice Healthcomp | $32.60 |
| Allegiance [1245] | Hb Cc Wsa Cigna | $33.42 |
| American Postal Work [1008] | Hb Cc Wsa Cigna | $33.42 |
| American Trust Administrators [2019] | Hb Cc Wsa Cigna | $33.42 |
| Boilermakers [1269] | Hb Cc Wsa Cigna | $33.42 |
| Cigna [533] | Hb Cc Wsa Cigna | $33.42 |
| Great West Cigna [534] | Hb Cc Wsa Cigna | $33.42 |
| Healthsmart [584] | Hb Cc Wsa Cigna | $33.42 |
| Loomis Benefits West Comm [1109] | Hb Cc Wsa Cigna | $33.42 |
| Masters Mates Pilot [1114] | Hb Cc Wsa Cigna | $33.42 |
| Nalc Comm [1136] | Hb Cc Wsa Cigna | $33.42 |
| Nw Administrators [1238] | Hb Cc Wsa Cigna | $33.42 |
| Nw Sheet Metal Workers [597] | Hb Cc Wsa Cigna | $33.42 |
| Aetna [511] | Hb Cc Wsa Aetna | $36.68 |
| Brms [1270] | Hb Cc Wsa First Choice | $36.68 |
| City Of Pasco [2247] | Hb Cc Wsa First Choice | $36.68 |
| Coastal Adminstrative Services [2269] | Hb Cc Wsa First Choice | $36.68 |
| Employee Bene Admin Mgmt [525] | Hb Cc Wsa Aetna | $36.68 |
| Employee Bene Admin Mgmt [525] | Hb Cc Wsa First Choice | $36.68 |
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All common services at Grant County Public Hospital District 1 dba Samaritan