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Ketorolac injection, 15 mg at Sioux Valley Memorial Hospital Association. CPT J1885.

What Sioux Valley Memorial Hospital Association publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$25.85cash price (self-pay)
$57.32list price
$13.00–$52.00range insurers pay
Insurance planNegotiated rate
HEALTH PARTNERS | Medicare$30.38
HUMANA | Medicare$30.38
Molina | Medicaid$31.53

Inpatient

$25.85cash price (self-pay)
$57.32list price
$25.00–$95.00range insurers pay
Insurance planNegotiated rate
Admin Concepts | Commercial$57.32
AETNA | Commercial$57.32
AETNA | Medicare$57.32
American Republic | Commercial$57.32
APW | All Plans$57.32
Auxiant | Commercial$57.32
Avera | Commercial$57.32
Bankers Life | Commercial$57.32
BLUE CROSS | Commercial$57.32
BLUE CROSS | Medicare$57.32
CHAMPUS | Commercial$57.32
CIGNA | Commercial$57.32
HEALTH PARTNERS | Commercial$57.32
HEALTH PARTNERS | Medicare$57.32
HUMANA | Medicare$57.32
Iowa Total Care | Commercial$57.32
Iowa Total Care | Medicaid$57.32
Liability | Commercial$57.32
MERIDIAN | Commercial$57.32
MERITAIN | Commercial$57.32
MIDLANDS | Commercial$57.32
MOLINA | Commercial$57.32
Molina | Medicaid$57.32
Mutual of Omaha | Commercial$57.32
Occunet | Commercial$57.32
PHYSICIANS MUTUAL | Commercial$57.32
Private Healthcare | Commercial$57.32
Sanford | Commercial$57.32
UHC | Commercial$57.32
UHC | Medicare$57.32
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All common services at Sioux Valley Memorial Hospital Association