Ketorolac injection, 15 mg at Pella Regional Health Center. CPT J1885.
What Pella Regional Health Center publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
—cash price (self-pay)
$35.50list price
$12.25–$75.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WellPoint | Medicaid | $12.43 |
| Iowa Total Care | Medicaid | $12.43 |
| Molina | Medicaid | $12.43 |
| WellPoint Medicare Advantage | Medicare Advantage | $13.49 |
| Aetna Medicare Advantage | Medicare Advantage | $13.49 |
| Humana Medicare Advantage | Medicare Advantage | $13.49 |
| Blue Cross Medicare Advantage | Medicare Advantage | $13.49 |
| Centivo | All Commercial | $17.75 |
| Health Partners | All Commercial | $19.52 |
| United Health | All Commercial | $21.30 |
| Multiplan | All Commercial | $24.85 |
| Midlands Choice | All Commercial | $33.73 |
| Humana | PPO/HMO | $75.00 |
Inpatient
—cash price (self-pay)
$35.50list price
$22.75–$75.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centivo | All Commercial | $23.07 |
| Multiplan | All Commercial | $24.85 |
| Health Partners | All Commercial | $31.95 |
| Midlands Choice | All Commercial | $33.73 |
| Humana | PPO/HMO | $75.00 |
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