Ketorolac injection, 15 mg at Mercy Hospital Northwest Arkansas. CPT J1885.
What Mercy Hospital Northwest Arkansas publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$12.75cash price (self-pay)
$24.72list price
$0.33–$44.22range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Provider Partners Health Plans Contracted [320450] | Hb Rogr Managed M | $0.33 |
| Kindful Hospice Contracted [320434] | Hb Rogr Managed Medicare | $0.33 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Rogr Managed Medi | $0.33 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Rogr Managed Medicare | $0.33 |
| Qual Choice Contracted [320325] | Hb Rogr Managed Medicare | $0.33 |
| Tricare Contracted [320380] | Hb Rogr Tricare | $0.33 |
| United Behavioral Health Medicare Advantage Contracted [320392] | Hb R | $0.33 |
| United Healthcare Contracted [320396] | Hb Rogr Managed Medicare | $0.33 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Rogr UHC | $0.33 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Rogr Novasys Mgd | $0.34 |
| Novasys Medicare Contracted [320286] | Hb Rogr Novasys Mgd Mcr 103% | $0.34 |
| St Johns Mercy Rehab LLC Contracted [320359] | Hb Rogr South Rehab 110 | $0.37 |
| Ambetter Contracted [320452] | Hb Rogr Novasys Ambetter Exchange | $0.47 |
| Sunflower Health Plan Contracted [320369] | Hb Rogr Novasys Ambetter E | $0.47 |
| United Medical Resources Contracted [320454] | Hb Rogr UHC | $0.49 |
| United Healthcare Contracted [320396] | Hb Rogr UHC | $0.49 |
| United Healthcare [20396] | Hb Rogr UHC | $0.49 |
| Health Choice Contracted [320166] | Hb Rogr Oklahoma State And Educati | $0.58 |
| Blue Cross Ar Apc Contracted [320300] | Hb Rogr Blue Cross | $0.85 |
| Usable Contracted [320409] | Hb Rogr Blue Cross | $0.85 |
| Blue Cross And Blue Shield [20053] | Hb Rogr BCBS Exchange | $0.85 |
| Blue Cross And Blue Shield [20053] | Hb Rogr Blue Cross | $0.85 |
| Mc Anthem [20455] | Hb Rogr Blue Cross | $0.85 |
| Cigna Healthcare Contracted [320071] | Hb Rogr Cigna | $0.96 |
| Aetna [20008] | Hb Rogr Coventry/Aetna | $1.64 |
| Aetna Contracted [320008] | Hb Rogr Coventry/Aetna | $1.64 |
| First Health Contracted [320128] | Hb Rogr First Health/Aetna | $1.86 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Rogr Ok Man | $2.47 |
| Humana Medicaid Contracted [320486] | Hb Rogr Ok Managed Medicaid | $2.47 |
| Medicaid [20240] | Hb Rogr Oklahoma Medicaid | $2.47 |
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