Ketorolac injection, 15 mg at UnityPoint Health - St. Lukes Downtown. CPT J1885.
What UnityPoint Health - St. Lukes Downtown publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$0.13cash price (self-pay)
$45.70list price
$0.04–$61.75range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $0.34 |
| Molina | Medicare Advantage | $0.34 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $0.34 |
| Amerivantage | Medicare Advantage | $0.35 |
| Humana | Medicare Advantage | $0.35 |
| United Healthcare | Medicare Advantage | $0.35 |
| 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 UPH Self-Funded | Commercial | $0.50 |
| Aetna | HMO | $0.75 |
| Aetna | PPO | $0.75 |
| Nebraska Total Care | Managed Medicaid | $11.88 |
| Health Partners Open Network | Commercial | $18.05 |
| Medica Exchange Inspire | Commercial | $23.68 |
| Medica Exchange Insure | Commercial | $26.53 |
| Cigna/Midlands | Commercial | $28.75 |
| Avera Health Plan | Commercial | $29.71 |
Inpatient
$0.13cash price (self-pay)
$45.90list price
$0.10–$59.76range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $28.87 |
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All common services at UnityPoint Health - St. Lukes Downtown