Ketorolac injection, 15 mg at MercyOne Des Moines Medical Center. CPT J1885.
What MercyOne Des Moines 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
$0.30–$30.05range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $0.33 |
| Healthsun Medicare Advantage | Medicare | $0.33 |
| Blue Cross - IL Medicare Advantage | Medicare | $0.33 |
| Emblem Health Medicare Advantage | Medicare | $0.33 |
| Devoted Health Medicare Advantage | Medicare | $0.33 |
| Health New England Medicare Advantage | Medicare | $0.33 |
| Iowa Total Care | Iowa Total Care Medicaid | $2.29 |
| Molina Medicaid | Molina Medicaid | $2.32 |
| Medical Associates | Medical Associates | $2.35 |
| Wellpoint Medicaid | Wellpoint Medicaid | $3.10 |
| Health Choices | Medical Associates | $3.46 |
| Meritain | Aetna | $4.06 |
| Aetna | Aetna | $4.06 |
| Aetna Domestic | Aetna | $4.06 |
| Medical Mutual | Aetna | $5.97 |
| Asr Health Benefits | Aetna | $5.97 |
| Coventry | Aetna | $5.97 |
| Allied Benefit Systems | Aetna | $5.97 |
| Christian Brother Services | Aetna | $5.97 |
| Luminare Health | Aetna | $5.97 |
| Webtpa | Aetna | $5.97 |
| Lucent Health | Aetna | $5.97 |
| 1199 National Benefit Fund | Aetna | $5.97 |
| First Health | Aetna | $5.97 |
| Trustmark Small Business Benefits | Aetna | $5.97 |
| United Healthcare | United Healthcare | $7.02 |
| Geha | United Healthcare | $7.02 |
| Health Partners | Health Partners | $7.43 |
| United Healthcare | United Healthcare Options | $9.55 |
| Usa Managed Care | Usa Managed Care | $9.95 |
Inpatient
$16.10cash price (self-pay)
$16.10list price
$0.35–$16.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Sd | Medicaid Iowa | $0.35 |
| Keystone First Chc Medicaid | Medicaid Iowa | $0.35 |
| Cmh Berrien County | Medicaid Iowa | $0.35 |
| Cmh Bay-Arenac County | Medicaid Iowa | $0.35 |
| Cmh Barry County | Medicaid Iowa | $0.35 |
| Cmh Ausable Valley | Medicaid Iowa | $0.35 |
| Cmh Allegan County | Medicaid Iowa | $0.35 |
| Blue Cross - Nj (Horizon) Medicaid Advantage | Medicaid Iowa | $0.35 |
| Metroplus Medicaid Advantage | Medicaid Iowa | $0.35 |
| Us Family Health Plan | Tricare | $1.20 |
| Tricare | Tricare | $1.20 |
| Rx Allwin | Medicare | $1.31 |
| Keystone First Chc Medicare Advantage | Medicare | $1.31 |
| Buckeye Health Plan Medicare Advantage | Medicare | $1.31 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Medicare | $1.31 |
| Moda Health Medicare Advantage | Medicare | $1.31 |
| Allwell Pa Health & Wellness Medicare Advantage | Medicare | $1.31 |
| Blue Cross - Oh (Anthem) Medicare Advantage | Medicare | $1.31 |
| Optimum Healthcare Medicare Advantage | Medicare | $1.31 |
| Michigan Complete Health | Medicare | $1.31 |
| Blue Shield - NY Highmark Northeastern Medicare Advantage | Medicare | $1.31 |
| Blue Shield - Id (Regence) Medicare Advantage | Medicare | $1.31 |
| Medicare Advantage Generic | Medicare | $1.31 |
| Preferred Care Partners | Medicare | $1.31 |
| Network Medicare Advantage | Medicare | $1.31 |
| Capital District Physicians Health Plan Medicare Advantage | Medicare | $1.31 |
| Blue Cross - Federal | Wellmark BCBS | $2.00 |
| Blue Cross - Wy | Wellmark BCBS | $2.00 |
| Blue Cross - Wv (Highmark) | Wellmark BCBS | $2.00 |
| Blue Shield - Wa (Regence) | Wellmark BCBS | $2.00 |
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