Ketorolac injection, 15 mg at St. Luke's Wood River Standard Charges. CPT J1885.
What St. Luke's Wood River Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$2.18cash price (self-pay)
$15.18list price
$0.37–$29.71range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna [1062] | Hb Wr Cigna | $0.74 |
| Commercial [1028] | Hb Wr Cigna | $0.74 |
| Providence [1022] | Hb Wr Cigna | $0.74 |
| Commercial [1028] | Hb Wr Va Ccn | $8.65 |
| Medicare Advantage Generic [1019] | Hb Wr Medicare Advantage | $8.65 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Mmcp | $8.65 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Mmcp | $8.65 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Pacificsource HMO PPO | $8.65 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Slhp Pacificsource Med | $8.65 |
| Medicare Advantage Regence [1016] | Hb Wr Medicare Advantage | $8.65 |
| Veterans Affairs [1056] | Hb Wr Va Ccn | $8.65 |
| Blue Cross/Medicare Advantage [1009] | Hb Wr Bci True & Secure Med Adv | $8.74 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Med Adv | $8.83 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Med Adv | $8.83 |
| Medicare Advantage UHC [1013] | Hb Wr Aarp Med Adv | $9.09 |
| Medicare Advantage Aetna [1017] | Hb Wr Aetna Med Adv | $9.52 |
| Commercial [1028] | Hb Wr Multiplan Primary Network | $12.14 |
| Blue Cross Federal [1008] | Hb Wr Bci PPO Fep | $12.45 |
| Blue Cross Idaho [1007] | Hb Wr Bci PPO Fep | $12.45 |
| Blue Cross Out Of State [1041] | Hb Wr Bci PPO Fep | $12.45 |
| Commercial [1028] | Hb Wr Amps | $12.90 |
| Commercial [1028] | Hb Wr Christian Health Aid | $12.90 |
| Commercial [1028] | Hb Wr Moda Commercial | $13.36 |
| Moda [1055] | Hb Wr Moda Commercial | $13.36 |
| Aetna [1021] | Hb Wr Aetna Trinity Health (St Al'S) | $13.66 |
| Commercial [1028] | Hb Wr Northern Nevada Laborers Trust | $13.66 |
| Commercial [1028] | Hb Wr United Healthcare | $13.74 |
| Geha [1065] | Hb Wr United Healthcare | $13.74 |
| United Health Care [1025] | Hb Wr United Healthcare | $13.74 |
| United Medical Resources [1051] | Hb Wr United Healthcare | $13.74 |
Inpatient
$2.18cash price (self-pay)
$15.18list price
$2.03–$28.49range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna [1062] | Hb Wr Cigna | $14.12 |
| Commercial [1028] | Hb Wr Cigna | $14.12 |
| Providence [1022] | Hb Wr Cigna | $14.12 |
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All common services at St. Luke's Wood River Standard Charges