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
Saint Louis, MO
See all hospitals reporting APC 0764 →Price type
SSM-SLUH, Inc.’s median price of $5.1k is 31% below the median hospital's median price ($7.3k), higher than 31% of the 325 hospitals reporting APC 0764. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield anthem pathway exchange other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 2 | Aetna gold advantage medicare managed care plan other · outpatient | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 3 | Aetna all commercial plans other · outpatient | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 4 | UnitedHealthcare optum vaccn government other · outpatient | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 5 | UnitedHealthcare medicare managed care plan other · outpatient | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 6 | Molina medicaid managed care plan other · outpatient | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 7 | Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient | $4.9k | $4.9k | — | — | 1–10 | $4.9k – $4.9k |
| 8 | UnitedHealthcare community care medicaid managed care plan other · outpatient | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
| 9 | UnitedHealthcare non-ppo other commercial plan other · outpatient | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 10 | Cigna all commercial plans other · outpatient | $6.4k | $6.4k | — | — | 1–10 | $6.4k – $6.4k |
| 11 | Aetna nap other commercial plan percent of total billed charges · outpatientfrom % of charges | $7.2k | $7.2k | — | — | 1–10 | $7.2k – $7.2k |
| 12 | Blue Cross Blue Shield anthem blue access ppo other · outpatient | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 13 | UnitedHealthcare employee other · outpatient | $10.1k | $10.1k | — | — | 1–10 | $10.1k – $10.1k |
| 14 | Optum transplant medicare managed care plan other · outpatient | $12.6k | $12.6k | — | — | 1–10 | $12.6k – $12.6k |
| 15 | Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient | $15.1k | $15.1k | — | — | 1–10 | $15.1k – $15.1k |
| 16 | Phcs all commercial plans other · outpatient | $17.3k | $17.3k | — | — | 1–10 | $17.3k – $17.3k |
Last updated: Apr 1, 2026
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