Ketorolac injection, 15 mg at Franciscan Health Dyer. CPT J1885.

What Franciscan Health Dyer publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$2.16cash price (self-pay)

$34.00list price

$0.33–$46.45range insurers pay

Insurance plan	Negotiated rate
Medicare [1099] \| Medicare-Nir-Dyer	$0.33
Medicare Replacement [2003] \| Medicare-Nir-Dyer	$0.33
Medicare [1099] \| Medicare Part B [109992]	$0.33
Medicare [1099] \| Medicare Part A & B [109993]	$0.33
Medicare Replacement [2003] \| Wellcare Medicare Replacement [300390]	$0.33
Medicare Replacement [2003] \| United Healthcare Mc Replacement [300391	$0.33
Medicare Replacement [2003] \| Humana Gold Plus Mc Replacement [300394]	$0.33
Medicare Replacement [2003] \| Cigna Healthspring Mc Replacement [30039	$0.33
Medicare Replacement [2003] \| Anthem Bc Medicare Replacement [300396]	$0.33
Medicare Replacement [2003] \| Aetna Medicare Replacement [300397]	$0.33
Medicare Replacement [2003] \| BCBS IL Medicare Sel Replacement [313027	$0.33
Medicare Replacement [2003] \| Humana Medicare Plus HMO [313066]	$0.33
Medicare Replacement [2003] \| Humana Medicare Choice Pffs [313067]	$0.33
Medicare Replacement [2003] \| Aetna Better Health Premier Plan Mmai [3	$0.33
Medicare Replacement [2003] \| Blue Cross Medicare Adv IL Out Of State	$0.33
Medicare Replacement [2003] \| Blue Cross Medicare Adv In Out Of State	$0.33
Medicare Replacement [2003] \| Cigna Medicare Replacement [318005]	$0.33
Medicare Replacement [2003] \| Humana Oak Street [320012]	$0.33
Medicare Replacement [2003] \| Devoted Health Plans Mc Replacement [323	$0.33
Blue Cross [1014] \| Anthem Blue Access PPO With Copps - Dyer	$0.66
Blue Cross [1014] \| Anthem Healthsync POS With Copps - Dyer	$0.66
Blue Cross [1014] \| Anthem Franciscan Employee Copps- All Locations	$0.66
Unicare [1150] \| Anthem Blue Access PPO With Copps - Dyer	$0.66
Blue Cross Illinois [1210] \| Anthem Blue Access PPO With Copps - Dyer	$0.66
Blue Cross Out Of State [1211] \| Anthem Blue Access PPO With Copps - D	$0.66
Alt Payer Illinois Blue Cross [121002] \| Anthem Blue Access PPO With C	$0.66
Alt Payer Indiana Blue Cross [121003] \| Anthem Blue Access PPO With Co	$0.66
Blue Cross [1014] \| Anthem Federal [101403]	$0.66
Blue Cross [1014] \| Anthem HMO [101405]	$0.66
Blue Cross [1014] \| Anthem PPO [101407]	$0.66

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