Ketorolac injection, 15 mg at Monroe County Hospital. CPT J1885.
What Monroe County Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2026.
Outpatient / ER
$13.38cash price (self-pay)
$25.24list price
$0.41–$54.15range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice - All Plans | Midlands Choice - All Plans | $0.41 |
| Wellmark HMO | Wellmark HMO | $0.70 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $0.70 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $0.75 |
| Aetna Mcaid | Aetna Mcaid | $1.50 |
| Iowa Total Care Mcaid - All Plans | Iowa Total Care Mcaid - All Plans | $1.53 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $1.54 |
| Amerigroup Mcaid - All Other Plans | Amerigroup Mcaid - All Other Plan | $1.58 |
| UHC Mcare | UHC Mcare | $11.22 |
| Tricare - All Plans | Tricare - All Plans | $11.22 |
| Va Ccn - All Plans | Va Ccn - All Plans | $11.22 |
| Humana Mcare - All Plans | Humana Mcare - All Plans | $11.34 |
| Wellmark Mcare | Wellmark Mcare | $11.34 |
| Aetna/Coventry Mcare | Aetna/Coventry Mcare | $11.46 |
| Geha - All Plans | Geha - All Plans | $18.93 |
| Aetna - All Other Plans | Aetna - All Other Plans | $23.55 |
| Mahp Mcare - All Plans | Mahp Mcare - All Plans | $24.09 |
| Amerigroup Mcare | Amerigroup Mcare | $24.33 |
| Multiplan - All Plans | Multiplan - All Plans | $26.06 |
| Integrated Hp - All Plans | Integrated Hp - All Plans | $26.34 |
| Centivo - All Plans | Centivo - All Plans | $27.95 |
| Preferred Hlth - All Plans | Preferred Hlth - All Plans | $29.65 |
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