Ketorolac injection, 15 mg at MercyOne New Hampton Medical Center. CPT J1885.
What MercyOne New Hampton Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2.60cash price (self-pay)
$5.73list price
$0.29–$17.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna Medicare Advantage | $1.20 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $1.22 |
| Medical Associates | Medical Associates | $1.52 |
| Oscar | Oscar | $1.76 |
| Iowa Total Care | Iowa Total Care Medicaid | $2.05 |
| Geha | United Healthcare | $2.08 |
| United Healthcare | United Healthcare | $2.08 |
| Molina Medicaid | Molina Medicaid | $2.08 |
| Claimdoc | Claimdoc | $2.41 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $2.46 |
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $2.57 |
| Aetna Domestic | Aetna | $2.84 |
| Aetna | Aetna | $2.84 |
| Meritain | Aetna | $2.84 |
| Health Choices | Medical Associates | $3.08 |
| Amish Hospital Aid | Amish Hospital Aid | $3.25 |
| Ambetter | Ambetter Marketplace | $4.10 |
| Wellpoint Medicaid | Wellpoint Medicaid | $4.25 |
| Nova | Claimdoc | $4.91 |
| Lucent Health | Aetna | $5.76 |
| Aetna Eap | Aetna | $5.76 |
| Allied Benefit Systems | Aetna | $5.76 |
| Asr Health Benefits | Aetna | $5.76 |
| Coventry | Aetna | $5.76 |
| Luminare Health | Aetna | $5.76 |
| First Health | Aetna | $5.76 |
| Medical Mutual | Aetna | $5.76 |
| Webtpa | Aetna | $5.76 |
| Trustmark Small Business Benefits | Aetna | $5.76 |
| 1199 National Benefit Fund | Aetna | $5.76 |
Inpatient
$16.10cash price (self-pay)
$16.10list price
$1.20–$16.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $1.31 |
| Blue Shield - Pa (Highmark) Medicare Advantage | Medicare | $1.31 |
| Security Health Medicare | Medicare | $1.31 |
| Upper Peninsula Health Plan (Uphp) Medicare | Medicare | $1.31 |
| Network Medicare Advantage | Medicare | $1.31 |
| Molina Medicare Advantage | Molina Medicare Advantage | $1.31 |
| Caresource Medicare | Medicare | $1.31 |
| Medical Mutual Medicare | Medicare | $1.31 |
| Hap Medicare Advantage | Medicare | $1.31 |
| Care Wisconsin Medicare | Medicare | $1.31 |
| Scan Health Plan Medicare Advantage | Medicare | $1.31 |
| Alignment Health Plan Medicare Advantage | Medicare | $1.31 |
| Georgia Health Advantage | Medicare | $1.31 |
| Evercare | Medicare | $1.31 |
| Blue Shield - De (Highmark) Medciare Advantage | Medicare | $1.31 |
| Oscar Medicare Advantage | Medicare | $1.31 |
| American Health Advantage Of Idaho | Medicare | $1.31 |
| Everence | Medicare | $1.31 |
| Eddy Senior Care-Pace | Medicare | $1.31 |
| Sunnyview-Pace Finance Dept | Medicare | $1.31 |
| Thome Pace | Medicare | $1.31 |
| Osu Prime Care Advantage | Medicare | $1.31 |
| The Health Plan | Medicare | $1.31 |
| Peak Pace Solutions | Medicare | $1.31 |
| Meridian Complete | Medicare | $1.31 |
| Blue Cross - Ms Medicare Advantage | Medicare | $1.31 |
| Blue Cross - MA Medicare Advantage | Medicare | $1.31 |
| Blue Cross - FL Medicare Advantage | Medicare | $1.31 |
| Medipak Advantage | Medicare | $1.31 |
| Blue Cross - Tn Medicare Advantage | Medicare | $1.31 |
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