Ketorolac injection, 15 mg at Mercy Family Medicine - Booneville. CPT J1885.
What Mercy Family Medicine - Booneville publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$9.00cash price (self-pay)
$12.00list price
$0.34–$152range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare Contracted [320380] | Pb Bnvar Humana Tricare | $0.34 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $0.47 |
| United Healthcare Contracted [320396] | Pb Stl UHC Core | $0.75 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $6.60 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $6.60 |
| Medicaid [20240] | Pb Bnvar Rhc Ar Medicaid | $152 |
Inpatient
$26.10cash price (self-pay)
$27.00list price
$0.34–$152range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare Contracted [320380] | Pb Bnvar Humana Tricare | $0.34 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $0.47 |
| United Healthcare Contracted [320396] | Pb Stl UHC Core | $0.75 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $5.69 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $19.14 |
| Medicaid [20240] | Pb Bnvar Rhc Ar Medicaid | $152 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.