Ketorolac injection, 15 mg at Providence St Peter Hospital. CPT J1885.
What Providence St Peter Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$40.23cash price (self-pay)
$78.69list price
$0.29–$1.73range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Unitedhealthcare | Navigate Other Commercial Plan | $0.29 |
| Blue Shield | Regence Medicare Managed Care Plan | $0.35 |
| Aetna | Gatekeeper Medicare Managed Care - Hmo | $0.35 |
| Aetna | Non-Gatekeeper Medicare Managed Care - Ppo | $0.35 |
| Unitedhealthcare | Medicare Managed Care Plan | $0.36 |
| Humana | Medicare Managed Care Plan | $0.38 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $0.41 |
| Community Health Plan | Medicare Managed Care Plan | $0.55 |
| Molina | Exchange | $0.58 |
| Blue Cross | Premera Lifewise Exchange | $0.61 |
| Coordinated Care | Ambetter Exchange | $0.63 |
| Cigna | All Commercial Plans | $0.92 |
| Kaiser | All Commercial Plans | $1.09 |
| Providence Health Plan | Signature/Choice Network Other Commercial Pla | $1.11 |
| Aetna | All Commercial Plans | $1.73 |
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