Ketorolac injection, 15 mg at Ascension St. Vincent Endoscopy. CPT J1885.
What Ascension St. Vincent Endoscopy publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$38.88cash price (self-pay)
$65.02list price
$0.26–$1.53range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Care Connect | 8255_anthem Connect Medicaid Replacement Outpat | $0.26 |
| Anthem Care Connect | 8879_anthem Connect Medicaid Replacement Asc Out | $0.26 |
| Anthem Medicaid | 7373_anthem Medicaid Replacement Outpatient 20230101 | $0.26 |
| Mdwise Hoosier Alliance Medicaid | 8256_mdwise Medicaid Replacement Ou | $0.26 |
| Mdwise Hoosier Alliance Medicaid | 9347_mdwise Medicaid Replacement As | $0.26 |
| Medicaid Advantage | 8723_medicaid Replacement Outpatient 20240401 | $0.26 |
| Medicaid Replacement Asc Outpatient 20250101 | 9365_medicaid Replaceme | $0.26 |
| Mhs Care Connect | 8257_mhs Connect Medicaid Replacement Outpatient 2 | $0.26 |
| Mhs Care Connect | 8877_mhs Connect Medicaid Replacement Asc Outpatien | $0.26 |
| Anthem Healthsync HMO | 9399_anthem Healthsync HMO Vein 20250101 | $0.49 |
| Anthem Healthsync POS | 9401_anthem Healthsync POS Vein 20250101 | $0.49 |
| Anthem HMO/POS | 9403_anthem HMO POS Vein 20250101 | $0.49 |
| Anthem Pathway | 9404_anthem Pathway Vein 20250101 | $0.49 |
| Anthem Pathway X | 9405_anthem Pathway X Vein 20250101 | $0.49 |
| Anthem PPO Preferred | 9406_anthem Preferred Vein 20250101 | $0.49 |
| Anthem Short Term Limited Duration | 9407_anthem Short Term Limited Du | $0.49 |
| Anthem Traditional | 9408_anthem Traditional Vein 20250101 | $0.49 |
| Encore Exclusive | 9409_encore Excusive Vein 20250101 | $0.49 |
| Patoka Valley Tier 1 | 9410_pakota Valley Tier 1 Vein 20250101 | $0.49 |
| Patoka Valley Tier 1 | 9412_pakota Valley Tier 1 20250101 | $0.49 |
| Patoka Valley Tier 2 | 9413_pakota Valley Tier 2 20250101 | $0.49 |
| Patoka Valley Tier 2 | 9415_pakota Valley Tier 2 Vein 20250101 | $0.49 |
| UHC | 9470_united Healthcare Vein 20250101 | $0.69 |
| UHC Self | 6575_united Health Care Self Funded Non-Contracted Vein 202 | $0.69 |
| Unified Group Services | 4819_anthem Unified Groups 20210401 | $0.94 |
| UHC New | 6793_united Healthcare New Business Outpatient Ecin 20230101 | $1.16 |
| Aetna | 9398_aetna Vein 20250101 | $1.53 |
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