Ketorolac injection, 15 mg at MercyOne North Iowa Medical Center. CPT J1885.
What MercyOne North Iowa 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 |
| Pacificsource Health Plans Medicare Advantage | Medicare | $0.33 |
| Midlands Choice | Midlands Choice | $0.71 |
| Medical Associates | Medical Associates | $0.77 |
| Cmh Lenawee County | Medicaid Iowa | $1.50 |
| Hap Medicaid | Medicaid Iowa | $1.50 |
| Aetna Domestic | Aetna | $1.58 |
| Aetna | Aetna | $1.58 |
| Meritain | Aetna | $1.58 |
| Geha | United Healthcare | $1.80 |
| United Healthcare | United Healthcare | $1.80 |
| Health Choices | Medical Associates | $2.31 |
| Multiplan | Multiplan | $2.70 |
| Iowa Total Care | Iowa Total Care Medicaid | $3.06 |
| Molina Medicaid | Molina Medicaid | $3.09 |
| Wellpoint Medicaid | Wellpoint Medicaid | $3.10 |
| Lucent Health | Aetna | $4.74 |
| Aetna Eap | Aetna | $4.74 |
| 1199 National Benefit Fund | Aetna | $4.74 |
| First Health | Aetna | $4.74 |
| Allied Benefit Systems | Aetna | $4.74 |
| Coventry | Aetna | $4.74 |
| Asr Health Benefits | Aetna | $4.74 |
| Luminare Health | Aetna | $4.74 |
| Medical Mutual | Aetna | $4.74 |
| Webtpa | Aetna | $4.74 |
| Trustmark Small Business Benefits | Aetna | $4.74 |
| Christian Brother Services | Aetna | $4.74 |
| Preferred One | Preferred One | $5.86 |
| Health Partners | Health Partners | $6.04 |
Inpatient
$45.90cash price (self-pay)
$45.90list price
$1.20–$45.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $1.31 |
| Universal Medicare | Medicare | $1.31 |
| Prominence Medicare | Medicare | $1.31 |
| Highmark Health Options Dual Plan | Medicare | $1.31 |
| Perennial Advantage | Medicare | $1.31 |
| Blue Cross - Ga (Anthem) Medicare Advantage | Medicare | $1.31 |
| Upmc Medicare Advantage | Medicare | $1.31 |
| Univera Healthcare Medicare Advantage | Medicare | $1.31 |
| Cca - Zing Health | Medicare | $1.31 |
| Mercyone Cedar Valley | Medicare | $1.31 |
| Medicare Puerto Rico | Medicare | $1.31 |
| Connecticare Vip Medicare | Medicare | $1.31 |
| Total Healthcare Medicare Snp | Medicare | $1.31 |
| Hap Empowered Mi Health Link Medicare Dual | Medicare | $1.31 |
| Scan Health Plan 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 |
| Optum Medicare Transplant | Medicare | $1.31 |
| Humana Medicare Transplant | Medicare | $1.31 |
| Carepartners Of Connecticut Medicare Advantage | Medicare | $1.31 |
| Gpa Croell Redi Mix | Medicare | $1.31 |
| Care Wisconsin Medicare | Medicare | $1.31 |
| Rx Retiree Rx Care | Medicare | $1.31 |
| United Healthcare Medicare | UHC Medicare Advantage | $1.36 |
| Medigold Medicare Advantage | Medigold Medicare Advantage | $1.37 |
| Cmh Ionia County | Medicaid Iowa | $6.00 |
| Cmh Genesee County | Medicaid Iowa | $6.00 |
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