Ketorolac injection, 15 mg at MercyOne Waterloo Medical Center. CPT J1885.
What MercyOne Waterloo Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3.20cash price (self-pay)
$9.64list price
$0.28–$8.30range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $0.33 |
| Medical Associates | Medical Associates | $1.32 |
| Idaho Womens Health Check | Medicaid Iowa | $1.50 |
| Health Safety Net | Medicaid Iowa | $1.50 |
| Fresno County Ccs | Medicaid Iowa | $1.50 |
| New York Cancer Services Program | Medicaid Iowa | $1.50 |
| Indiana Breast Cervical Cancer | Medicaid Iowa | $1.50 |
| Paramount Medicaid Advantage | Medicaid Iowa | $1.50 |
| Id County Ada | Medicaid Iowa | $1.50 |
| Health Choices | Medical Associates | $1.89 |
| Iowa Total Care | Iowa Total Care Medicaid | $2.29 |
| Molina Medicaid | Molina Medicaid | $2.32 |
| Wellpoint Medicaid | Wellpoint Medicaid | $3.10 |
| Geha | United Healthcare | $3.12 |
| United Healthcare | United Healthcare | $3.12 |
| Meritain | Aetna | $5.03 |
| Aetna | Aetna | $5.03 |
| Aetna Domestic | Aetna | $5.03 |
| Health Partners | Health Partners | $5.28 |
| Medica | Midlands Choice PPO | $5.72 |
| Cigna | Midlands Choice PPO | $5.72 |
| Auxiant | Midlands Choice PPO | $5.72 |
| Midlands | Midlands Choice PPO | $5.72 |
| Midlands Choice | Midlands Choice PPO | $5.72 |
| Cigna Eap | Midlands Choice PPO | $5.72 |
| Luminare Health | Aetna | $7.19 |
| Allied Benefit Systems | Aetna | $7.19 |
| Coventry | Aetna | $7.19 |
| Asr Health Benefits | Aetna | $7.19 |
| Medical Mutual | Aetna | $7.19 |
Inpatient
$16.10cash price (self-pay)
$16.10list price
$1.20–$16.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Tricare | $1.20 |
| Triwest Health Alliance | Tricare | $1.20 |
| Rx Allwin | Medicare | $1.31 |
| Blue Cross - NY (Anthem) Medicare Advantage | Medicare | $1.31 |
| Cca - Zing Health | Medicare | $1.31 |
| Mercyone Cedar Valley | Medicare | $1.31 |
| Medicare Puerto Rico | Medicare | $1.31 |
| Pace Southeast | Medicare | $1.31 |
| Paramount Medicare Advantage | Medicare | $1.31 |
| BCBS Medicare Advantage Generic | Medicare | $1.31 |
| South Country Health Alliance Medicare | South Ctry Health Alliance Me | $1.33 |
| Stephenson Cty Health | Stephenson Cty Health | $1.33 |
| Kaiser Domestic | Wellmark BCBS | $2.00 |
| Ambetter | Ambetter | $2.26 |
| Ascension St. Vincent Public Safety Medical | Medicaid Iowa | $6.00 |
| Cmh Kalamazoo | Medicaid Iowa | $6.00 |
| Cmh Macomb | Medicaid Iowa | $6.00 |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | Medicaid Iowa | $6.00 |
| Delaware County Department Of Health | Medicaid Iowa | $6.00 |
| Ryan White Florida Mssrp | Medicaid Iowa | $6.00 |
| Idaho Dept Health And Wellfare | Medicaid Iowa | $6.00 |
| Can Community Health Inc | Medicaid Iowa | $6.00 |
| New York Cancer Services Program | Medicaid Iowa | $6.00 |
| Indiana Breast Cervical Cancer | Medicaid Iowa | $6.00 |
| Community Care Partners | Medicaid Iowa | $6.00 |
| Connections Csp | Medicaid Iowa | $6.00 |
| Keystone First | Medicaid Iowa | $6.00 |
| Genex Wc | Genex Workers Comp | $12.08 |
| Wc Praxis Health Network | Praxis Health Network Workers Comp | $13.69 |
| Wc Paradigm | Workers Comp | $16.10 |
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