Ketorolac injection, 15 mg at MercyOne Centerville Medical Center. CPT J1885.
What MercyOne Centerville Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2.00cash price (self-pay)
$2.00list price
$0.29–$17.20range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $0.33 |
| Iowa Total Care | Iowa Total Care Medicaid | $1.98 |
| Molina Medicaid | Molina Medicaid | $2.01 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $2.09 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $2.13 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $3.67 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $3.75 |
| Claimdoc | Claimdoc | $4.20 |
| Amish Hospital Aid | Amish Hospital Aid | $4.71 |
| Medical Associates | Medical Associates | $5.50 |
| Ambetter | Ambetter Marketplace | $5.95 |
| Geha | United Healthcare | $6.30 |
| United Healthcare | United Healthcare | $6.30 |
| Aetna | Aetna | $6.75 |
| Aetna Domestic | Aetna | $6.75 |
| Meritain | Aetna | $6.75 |
| Nova | Claimdoc | $7.12 |
| Health Choices | Medical Associates | $9.32 |
| Asr Health Benefits | Aetna | $11.44 |
| Coventry | Aetna | $11.44 |
| Allied Benefit Systems | Aetna | $11.44 |
| Luminare Health | Aetna | $11.44 |
| Webtpa | Aetna | $11.44 |
| Medical Mutual | Aetna | $11.44 |
| 1199 National Benefit Fund | Aetna | $11.44 |
| First Health | Aetna | $11.44 |
| Aetna Eap | Aetna | $11.44 |
| Lucent Health | Aetna | $11.44 |
| Trustmark Small Business Benefits | Aetna | $11.44 |
| Christian Brother Services | Aetna | $11.44 |
Inpatient
$16.10cash price (self-pay)
$16.10list price
$1.20–$16.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | Molina Ne Medicaid Advantage | $1.25 |
| Rx Allwin | Medicare | $1.31 |
| Blue Cross - Ms | Wellmark BCBS | $2.00 |
| Blue Cross - Tn | Wellmark BCBS | $2.00 |
| Blue Cross - TX | Wellmark BCBS | $2.00 |
| Blue Shield - Pa (Highmark) | Wellmark BCBS | $2.00 |
| Blue Cross - Ri | Wellmark BCBS | $2.00 |
| Blue Cross - Sc | Wellmark BCBS | $2.00 |
| Blue Cross - Pa (Independence) | Wellmark BCBS | $2.00 |
| Blue Cross - Pa (Capital) | Wellmark BCBS | $2.00 |
| Blue Cross - Ok | Wellmark BCBS | $2.00 |
| Blue Cross - Or (Regence) | Wellmark BCBS | $2.00 |
| Blue Benefit Administrators Of Massachusetts | Wellmark BCBS | $2.00 |
| Blue Cross - Wv (Highmark) | Wellmark BCBS | $2.00 |
| Blue Cross - Federal | Wellmark BCBS | $2.00 |
| Blue Cross - Wy | Wellmark BCBS | $2.00 |
| Blue Cross - Wa (Premera) | Wellmark BCBS | $2.00 |
| Blue Cross - Va (Carefirst) | Wellmark BCBS | $2.00 |
| Aetna Medicaid | Aetna Medicaid | $4.84 |
| Wellcare Medicaid | Medicaid Iowa | $6.00 |
| Cigna Medicaid Advantage | Medicaid Iowa | $6.00 |
| Family Health Network | Medicaid Iowa | $6.00 |
| Meridian Medicaid | Medicaid Iowa | $6.00 |
| Trilogy Medicaid | Medicaid Iowa | $6.00 |
| County Care Medicaid | Medicaid Iowa | $6.00 |
| Hennepin Health | Medicaid Iowa | $6.00 |
| Unity Medicaid | Medicaid Iowa | $6.00 |
| Buckeye Health Plan Medicaid Advantage | Medicaid Iowa | $6.00 |
| Managed Health Services - Indiana | Medicaid Iowa | $6.00 |
| Molina Centennial Care | Medicaid Iowa | $6.00 |
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