Ketorolac injection, 15 mg at UnityPoint Health - Iowa Lutheran Hospital. CPT J1885.
What UnityPoint Health - Iowa Lutheran Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$0.12cash price (self-pay)
$44.91list price
$0.03–$40.01range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $0.33 |
| Molina | Medicare Advantage | $0.33 |
| Aetna | Medicare Advantage | $0.33 |
| Humana | Medicare Advantage | $0.34 |
| United Healthcare | Medicare Advantage | $0.34 |
| Amerivantage | Medicare Advantage | $0.34 |
| United Healthcare | HMO | $0.50 |
| Wellmark Blue Cross and Blue Shield | PPO | $0.50 |
| Wellmark Blue Cross and Blue Shield | HMO | $0.50 |
| United Healthcare | PPO | $0.50 |
| Wellmark UPH Self-Funded | Commercial | $0.50 |
| Aetna | HMO | $0.85 |
| Aetna | PPO | $0.85 |
| Health Partners Open Network | Commercial | $9.16 |
| Medica Exchange Inspire | Commercial | $15.05 |
| Medica Exchange Insure | Commercial | $16.86 |
| Cigna/Midlands | Commercial | $19.45 |
Inpatient
$0.12cash price (self-pay)
$45.20list price
$0.06–$40.01range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $19.57 |
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All common services at UnityPoint Health - Iowa Lutheran Hospital