Ketorolac injection, 15 mg at Story County Medical Center. CPT J1885.
What Story County Medical Center publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$24.80cash price (self-pay)
$90.10list price
$18.00–$92.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare | $54.96 |
| Humana | Medicare | $54.96 |
| Blue Cross | Medicare | $54.96 |
| Wellpoint | Medicare | $54.96 |
| Aetna | Medicare | $55.21 |
| UHC | Medicare | $55.21 |
| Health Partners | Commercial | $62.17 |
| IOWA Total Care | Medicaid | $66.97 |
| Molina Healthcare | Medicaid | $66.97 |
| Wellpoint | Medicaid | $66.97 |
| UHC | Commercial | $68.78 |
| Aetna-Coventry | Commercial | $87.72 |
Inpatient
$24.80cash price (self-pay)
$90.10list price
$21.00–$95.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Commercial | $62.17 |
| UHC | Commercial | $68.48 |
| Blue Cross | HMO | $78.39 |
| Blue Cross | PPO | $78.39 |
| Aetna-Coventry | Commercial | $87.40 |
| Aetna | Medicare | $90.10 |
| Blue Cross | Medicare | $90.10 |
| Health Partners | Medicare | $90.10 |
| Humana | Medicare | $90.10 |
| IOWA Total Care | Medicaid | $90.10 |
| Molina Healthcare | Medicaid | $90.10 |
| UHC | Medicare | $90.10 |
| Wellpoint | Medicaid | $90.10 |
| Wellpoint | Medicare | $90.10 |
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