Ketorolac injection, 15 mg at MercyOne Dyersville Medical Center. CPT J1885.
What MercyOne Dyersville Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2.30cash price (self-pay)
$3.00list price
$0.87–$33.82range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choices | Medical Associates | $1.13 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $1.66 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $1.70 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $1.71 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $1.75 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $1.78 |
| The Alliance | The Alliance | $1.82 |
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $1.85 |
| Iowa Total Care | Iowa Total Care Medicaid | $2.08 |
| United Healthcare | United Healthcare Deere Premier | $2.10 |
| Molina Medicaid | Molina Medicaid | $2.11 |
| Wellpoint Medicaid | Wellpoint Medicaid | $2.12 |
| Amish Hospital Aid | Amish Hospital Aid | $2.23 |
| Luminare Health | Aetna | $2.48 |
| Aetna | Aetna | $2.48 |
| Aetna Domestic | Aetna | $2.48 |
| First Health | Aetna | $2.48 |
| 1199 National Benefit Fund | Aetna | $2.48 |
| Aetna Eap | Aetna | $2.48 |
| Allied Benefit Systems | Aetna | $2.48 |
| Coventry | Aetna | $2.48 |
| Meritain | Aetna | $2.48 |
| Webtpa | Aetna | $2.48 |
| Medical Mutual | Aetna | $2.48 |
| Trustmark Small Business Benefits | Aetna | $2.48 |
| Christian Brother Services | Aetna | $2.48 |
| Cigna | Midlands Choice PPO | $2.70 |
| Multiplan | Multiplan | $2.70 |
| Midlands Choice | Midlands Choice PPO | $2.70 |
| Auxiant | Midlands Choice PPO | $2.70 |
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