Ketorolac injection, 15 mg at Providence Holy Family Hospital. CPT J1885.
What Providence Holy Family Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$70.66cash price (self-pay)
$101list price
$0.34–$1.66range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $0.34 |
| Blue Cross | Premera Medicare Managed Care Plan | $0.35 |
| Unitedhealthcare | Medicare Managed Care Plan | $0.36 |
| Blue Shield | Asuris Medicare Managed Care Plan | $0.37 |
| Amerigroup | Medicare Managed Care Plan | $0.38 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $0.41 |
| Community Health Plan | Cascade Care Exchange | $0.55 |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable C | $0.61 |
| Coordinated Care | Ambetter Exchange | $0.63 |
| Providence Health Plan | Signature/Choice/Extend Ppo Networks Other Co | $0.76 |
| Cigna | All Commercial Plans | $0.92 |
| Kaiser | All Commercial Plans | $1.05 |
| Aetna | All Commercial Plans | $1.66 |
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