Ketorolac injection, 15 mg at Cass County Memorial Hospital. CPT J1885.
What Cass County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 1, 2026.
Outpatient / ER
$7.98cash price (self-pay)
$53.69list price
$2.28–$233range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice Medica Mcr | Midlands Choice Medica Mcr | $3.07 |
| Aetna Coventry Mcr Adv | Aetna Coventry Mcr Adv | $6.26 |
| Va Ccn - All Plans | Va Ccn - All Plans | $6.26 |
| Iowa Total Care Mcaid | Iowa Total Care Mcaid | $8.01 |
| UHC All Payer -All Other Plans | UHC All Payer -All Other Plans | $13.52 |
| Aetna Coventry-All Other Plans | Aetna Coventry-All Other Plans | $14.15 |
| Tricare - All Plans | Tricare - All Plans | $15.14 |
| Amerigroup Medicaid | Amerigroup Medicaid | $28.73 |
| Iowa Total Care Mcr | Iowa Total Care Mcr | $29.23 |
| American Hlth Mcr Adv - All Plans | American Hlth Mcr Adv - All Plans | $29.79 |
| Medica Comm - All Other Plans | Medica Comm - All Other Plans | $31.98 |
| Multiplan - All Plans | Multiplan - All Plans | $34.68 |
| Triwest - All Plans | Triwest - All Plans | $35.67 |
| Amerigroup Mcr Adv - All Other Plans | Amerigroup Mcr Adv - All Other | $36.77 |
| UHC Mcr Adv | UHC Mcr Adv | $36.77 |
| Medica Mcr Adv | Medica Mcr Adv | $36.77 |
| Wellmark Mcr Adv | Wellmark Mcr Adv | $37.14 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $37.51 |
| Iowa Total Care Comm - All Other Plans | Iowa Total Care Comm - All Ot | $40.45 |
| Midlands Choice New Bus | Midlands Choice New Bus | $44.76 |
| Midlands Choice Pho (PPO) - All Other Plans | Midlands Choice Pho (PPO | $61.98 |
| Wellmark HMO | Wellmark HMO | $212 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $233 |
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