Ketorolac injection, 15 mg at Spencer Municipal Hospital. CPT J1885.
What Spencer Municipal Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$15.75cash price (self-pay)
$25.50list price
$0.71–$237range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Medicare Advantage | $0.71 |
| Wellpoint | Medicare Advantage | $0.71 |
| Aetna | Medicare Advantage (HMO & PPO) | $0.71 |
| Humana | Medicare Advantage (ALL) | $0.71 |
| UHC | Medicare Advantage | $0.92 |
| Wellpoint | Medicaid | $1.50 |
| Iowa Total Care | Medicaid | $1.50 |
| Molina | Medicaid | $1.50 |
| Health Partners | ALL | $20.40 |
| Aetna | Commercial HMO | $22.95 |
| UHC Commercial | ALL | $22.95 |
| Aetna | Commercial PPO | $24.23 |
| Humana | Commercial | $24.23 |
| Midlands Choice | All | $24.23 |
| Wellmark | HMO | $216 |
| Wellmark | PPO | $237 |
Inpatient
$15.75cash price (self-pay)
$25.50list price
$0.64–$237range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Medicare Advantage | $0.64 |
| Wellmark | Medicare Advantage | $0.71 |
| Wellpoint | Medicare Advantage | $0.71 |
| Aetna | Medicare Advantage (HMO & PPO) | $0.71 |
| Humana | Medicare Advantage (ALL) | $0.71 |
| Health Partners | ALL | $20.40 |
| Aetna | Commercial HMO | $22.95 |
| UHC Commercial | ALL | $22.95 |
| Aetna | Commercial PPO | $24.23 |
| Humana | Commercial | $24.23 |
| Midlands Choice | All | $24.23 |
| Wellmark | HMO | $216 |
| Wellmark | PPO | $237 |
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