Ketorolac injection, 15 mg at UnityPoint Health - St. Luke's Hospital. CPT J1885.
What UnityPoint Health - St. Luke's Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$0.31cash price (self-pay)
$49.45list price
$0.12–$52.06range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $0.33 |
| Molina | Medicare Advantage | $0.33 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $0.33 |
| Amerivantage | Medicare Advantage | $0.34 |
| Humana | Medicare Advantage | $0.34 |
| United Healthcare | Medicare Advantage | $0.34 |
| United Healthcare | HMO | $0.50 |
| Wellmark Blue Cross and Blue Shield | HMO | $0.50 |
| Wellmark Blue Cross and Blue Shield | PPO | $0.50 |
| United Healthcare | PPO | $0.50 |
| Wellmark UHP Self-Funded | Commercial | $0.50 |
| Aetna | HMO | $0.93 |
| Aetna | PPO | $0.93 |
| Health Partners Open Network | Commercial | $15.53 |
| Medica Exchange Inspire | Commercial | $16.52 |
| Medica Exchange Insure | Commercial | $18.54 |
| Cigna/Midlands | Commercial | $27.10 |
Inpatient
$0.31cash price (self-pay)
$49.45list price
$0.21–$52.06range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $27.10 |
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All common services at UnityPoint Health - St. Luke's Hospital