Ketorolac injection, 15 mg at Buena Vista Regional Medical Center. CPT J1885.
What Buena Vista Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$45.50cash price (self-pay)
$91.10list price
$24.00–$92.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare | $48.28 |
| BLUE CROSS | Medicare | $48.28 |
| HEALTH PARTNERS | Medicare | $48.28 |
| HUMANA | Medicare | $48.28 |
| Iowa Health Advantage | Medicare | $48.28 |
| MEDICARE COMMUNITY PLAN UHC | Medicare | $48.28 |
| MOLINA MEDICARE HEALTHCARE | Medicare | $48.28 |
| Wellcare | Medicare | $48.28 |
| Ambetter | Commercial | $48.28 |
| CHAMPVA | Commercial | $48.28 |
| AMERICAN POSTAL WORKERS | Commercial | $72.88 |
| Avera | Commercial | $77.43 |
| FIRST ADMINISTRATORS | Commercial | $88.37 |
| GOLDEN RULE | Commercial | $88.37 |
| GREAT WEST | Commercial | $88.37 |
| HEALTHSCOPE | Commercial | $88.37 |
| MEDICAL ASSOCIATES | Commercial | $88.37 |
| MERITAIN | Commercial | $88.37 |
| MIDLANDS CHOICE | Commercial | $88.37 |
Inpatient
$45.50cash price (self-pay)
$91.10list price
$24.00–$95.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHAMPUS | Commercial | $48.28 |
| CHAMPVA | Commercial | $48.28 |
| HEALTH PARTNERS | Commercial | $60.13 |
| AMERICAN POSTAL WORKERS | Commercial | $72.88 |
| Avera | Commercial | $77.43 |
| CIGNA | Commercial | $81.99 |
| UHC | Commercial | $84.72 |
| Aetna | Commercial | $88.37 |
| FIRST ADMINISTRATORS | Commercial | $88.37 |
| GOLDEN RULE | Commercial | $88.37 |
| GREAT WEST | Commercial | $88.37 |
| HEALTHSCOPE | Commercial | $88.37 |
| MEDICAL ASSOCIATES | Commercial | $88.37 |
| MERITAIN | Commercial | $88.37 |
| MIDLANDS CHOICE | Commercial | $88.37 |
| Aetna | Medicare | $91.10 |
| BLUE CROSS | Medicare | $91.10 |
| HEALTH PARTNERS | Medicare | $91.10 |
| HUMANA | Medicare | $91.10 |
| Iowa Health Advantage | Medicare | $91.10 |
| MEDICARE COMMUNITY PLAN UHC | Medicare | $91.10 |
| MOLINA MEDICARE HEALTHCARE | Medicare | $91.10 |
| UHC | Medicare | $91.10 |
| Wellcare | Medicare | $91.10 |
| Wellpoint | Medicare | $91.10 |
| Ambetter | Commercial | $91.10 |
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