Ketorolac injection, 15 mg at Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.). CPT J1885.
What Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$0.53cash price (self-pay)
$7.92list price
$0.68–$1.68range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alliance | 1066_alliance 20220101 | $0.68 |
| Cchp Marketplace | 1124_cchp Marketplace 20221001 | $0.81 |
| Humana HMO POS | 1127_humana 20221001 | $0.88 |
| Humana PPO | 1133_humana PPO 20221001 | $0.88 |
| Humana Preferred | 1134_humana Preferred 20221001 | $0.88 |
| Trilogy | 1070_trilogy 20220101 | $1.00 |
| UHC Non Options PPO | 1130_united Health Care Nonoptions 20221001 | $1.11 |
| Anthem Blue Connection | 1117_anthem Blue Connection 20221001 | $1.49 |
| Anthem Pathways | 1121_anthem Pathways 20221001 | $1.68 |
Inpatient
$4.20cash price (self-pay)
$7.92list price
$0.68–$1.68range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Replacement Shwi | 1085_medicaid Replacement Shwi 20220101 | $1.36 |
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