Ketorolac injection, 15 mg at MercyOne West Des Moines Medical Center. CPT J1885.
What MercyOne West Des Moines Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$17.20cash price (self-pay)
$23.62list price
$1.53–$30.05range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Iowa Total Care | Iowa Total Care Medicaid | $2.29 |
| Molina Medicaid | Molina Medicaid | $2.32 |
| Wellpoint Medicaid | Wellpoint Medicaid | $2.33 |
| Medical Associates | Medical Associates | $4.75 |
| Health Choices | Medical Associates | $4.75 |
| Christian Brother Services | Aetna | $8.20 |
| Trustmark Small Business Benefits | Aetna | $8.20 |
| Medical Mutual | Aetna | $8.20 |
| Webtpa | Aetna | $8.20 |
| Meritain | Aetna | $8.20 |
| Coventry | Aetna | $8.20 |
| Allied Benefit Systems | Aetna | $8.20 |
| Asr Health Benefits | Aetna | $8.20 |
| First Health | Aetna | $8.20 |
| Aetna | Aetna | $8.20 |
| 1199 National Benefit Fund | Aetna | $8.20 |
| Lucent Health | Aetna | $8.20 |
| Aetna Domestic | Aetna | $8.20 |
| Luminare Health | Aetna | $8.20 |
| Cigna Eap | Cigna | $14.18 |
| United Healthcare | United Healthcare | $14.18 |
| Geha | United Healthcare | $14.18 |
| Cigna | Cigna | $14.18 |
| Health Partners | Health Partners | $15.00 |
| Midlands | Midlands Choice PPO | $15.36 |
| Medica | Midlands Choice PPO | $15.36 |
| Midlands Choice | Midlands Choice PPO | $15.36 |
| Auxiant | Midlands Choice PPO | $15.36 |
| Usa Managed Care | Usa Managed Care | $20.08 |
| Crime Victim Assistance | Crime Victims | $23.62 |
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All common services at MercyOne West Des Moines Medical Center