APC 0764
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Ketorolac tromethamine inj
Low
$0
Average
$3.3k
Median
$2.4k
High
$26.6k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 50.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
64 hospital rates
iThe hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mary Rutan Hospital Bellefontaine, OH other · outpatient | 2 | $102 | $102 | $36 | 35% | 27–36 | $66 – $138 |
| 2 | MUSC Medical Center Charleston, SC facility · other · outpatient | 2 | $1.4k | $1.4k | $1.2k | 90% | 20–29 | $132 – $2.6k |
| 3 | Providence Health And Services - Washington Spokane, WA other · outpatient | 1 | $2.9k | $2.9k | — | — | 20 | $2.9k – $2.9k |
| 4 | University of Washington Medical Center Seattle, WA other · outpatient | 3 | $8.1k | $6.8k | $4.0k | 59% | 15–33 | $1.3k – $10.9k |
| 5 | Providence Health And Services - Washington Spokane, WA other · outpatient | 1 | $3.3k | $3.3k | — | — | 13 | $3.3k – $3.3k |
| 6 | Marietta Memorial Hospital Belpre, OH facility · other · outpatient | 1 | $2.6k | $2.6k | — | — | 12 | $2.6k – $2.6k |
| 7 | Swedish Health Services Redmond, WA other · outpatient | 1 | $1.9k | $1.9k | — | — | 12 | $1.9k – $1.9k |
| 8 | Harborview Medical Center Seattle, WA other · outpatient | 2 | $2.4k | $2.4k | $1.7k | 73% | 2–20 | $651 – $4.1k |
| 9 | Kadlec Regional Medical Center Kennewick, WA other · outpatient | 2 | $6.2k | $6.2k | $2.8k | 45% | 2–20 | $3.4k – $9.0k |
| 10 | MUSC Health Florence Medical Center Florence, SC facility · other · outpatient | 2 | $11.1k | $11.1k | $9.7k | 87% | 2–20 | $1.4k – $20.7k |
| 11 | Overlake Medical Center & Clinics Bellevue, WA other · outpatient | 2 | $1.6k | $1.6k | $1.4k | 87% | 2–20 | $196 – $2.9k |
| 12 | Providence Health And Services - Washington Everett, WA other · outpatient | 2 | $5.4k | $5.4k | $1.4k | 26% | 2–20 | $3.9k – $6.8k |
| 13 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 2 | $91 | $91 | $39 | 43% | 2–20 | $52 – $131 |
| 14 | Berger Hospital Circleville, OH other · outpatient | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 15 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 1 | $94 | $94 | — | — | 1–10 | $94 – $94 |
| 16 | Covenant Hospital Hobbs Hobbs, NM other · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 17 | Doctors Hospital Columbus, OH other · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 18 | Dublin Methodist Hospital Dublin, OH other · outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 19 | Edward Hospital Plainfield, IL other · outpatient | 1 | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 20 | Good Samaritan Regional Health Center Mount Vernon, IL other · outpatient | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 21 | Grady Memorial Hospital Delaware, OH other · outpatient | 1 | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 22 | Grant Medical Center Columbus, OH other · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 23 | Grove City Methodist Grove City, OH other · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 24 | Hoag Memorial Hospital Presbyterian Irvine, CA facility · other · outpatient | 1 | $97 | $97 | — | — | 1–10 | $97 – $97 |
| 25 | Kershaw Medical Center Camden, SC facility · other · outpatient | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
← Payers reporting APC 0764 · Snapshot 20261111T120946Z-9134e7f7