Ketorolac injection, 15 mg at Franciscan Health Lafayette. CPT J1885.
What Franciscan Health Lafayette publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1.77cash price (self-pay)
$34.00list price
$0.33–$34.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [1099] | Medicare-Wir-Lafayette | $0.33 |
| Medicare Replacement [2003] | Medicare-Wir-Lafayette | $0.33 |
| United Healthcare [1156] | UHC All Payer-Wid-Lafayette | $0.54 |
| United Healthcare [1156] | United Healthcare Options PPO-Wid-Lafaye | $0.54 |
| United Medical Resources [1158] | UHC All Payer-Wid-Lafayette | $0.54 |
| United Medical Resources [1301] | UHC All Payer-Wid-Lafayette | $0.54 |
| United Medical Resources [1301] | United Healthcare Options PPO-Wid-La | $0.54 |
| Managed Care [2000] | UHC All Payer-Wid-Lafayette | $0.54 |
| Managed Care [2000] | United Healthcare Options PPO-Wid-Lafaye | $0.54 |
| Commercial [2001] | UHC All Payer-Wid-Lafayette | $0.54 |
| United Healthcare [1156] | United Healthcare Charter-Wid-Lafayette | $0.54 |
| Managed Care [2000] | United Healthcare All Savers-Wid-Lafayet | $0.54 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Lafayette | $0.66 |
| Blue Cross [1014] | Anthem Healthsync HMO With Copps - Lafayette | $0.66 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Lafayette | $0.66 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $0.66 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Lafayette | $0.66 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - Lafay | $0.66 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - L | $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 |
| Workers Comp [1172] | Workers Comp - Wir - Lafayette | $0.67 |
| Aetna [1005] | Aetna-Nid-Dyer-Munster-Crn Point | $1.50 |
| Managed Care [2000] | Aetna-Nid-Dyer-Munster-Crn Point | $1.50 |
| Managed Care [2000] | Siho - Cid & Nid & Wid Locations | $2.72 |
| Managed Care [2000] | Encore - Cid & Nid & Wid & Sscd | $2.72 |
| Commercial [2001] | Encore - Cid & Nid & Wid & Sscd | $2.72 |
| Aetna [1005] | Aetna-Wid | $3.32 |
| Managed Care [2000] | Aetna-Wid | $3.32 |
| Commercial [2001] | Aetna-Wid | $3.32 |
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