Ketorolac injection, 15 mg at Guttenberg Municipal Hospital. CPT J1885.
What Guttenberg Municipal Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$8.98cash price (self-pay)
$45.65list price
$4.00–$81.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA | Medicare | $23.74 |
| AETNA | Medicare HMO | $23.74 |
| AETNA | Medicare PPO | $23.74 |
| MEDICAL ASSOCIATES | Medicare | $23.74 |
| MOLINA | Medicare | $24.81 |
| HUMANA | Medicare | $25.17 |
| HEALTH PARTNERS | Commercial | $31.96 |
| MIDLANDS CHOICE | Commercial | $31.96 |
| Medical Associates | HMO | $34.24 |
| QUARTZ | Commercial | $36.52 |
| HEALTH CHOICES | Commercial | $39.26 |
Inpatient
$8.98cash price (self-pay)
$45.65list price
$6.00–$95.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | HMO | $30.59 |
| Wellmark | PPO | $30.59 |
| HEALTH PARTNERS | Commercial | $31.96 |
| MIDLANDS CHOICE | Commercial | $31.96 |
| Medical Associates | HMO | $34.24 |
| QUARTZ | Commercial | $36.52 |
| HEALTH CHOICES | Commercial | $39.26 |
| UHC | Commercial | $42.00 |
| AETNA | Medicare | $45.65 |
| AETNA | Medicare HMO | $45.65 |
| AETNA | Medicare PPO | $45.65 |
| HUMANA | Medicare | $45.65 |
| IOWA TOTAL CARE | Medicaid | $45.65 |
| MEDICAL ASSOCIATES | Medicare | $45.65 |
| MOLINA | Medicare | $45.65 |
| UHC | Medicare | $45.65 |
| WELLMARK | Medicare | $45.65 |
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