Ketorolac injection, 15 mg at Franciscan Health Michigan City. CPT J1885.
What Franciscan Health Michigan City publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1.66cash price (self-pay)
$21.00list price
$0.33–$34.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [1099] | Medicare-Nir-Michigan City | $0.33 |
| Medicare Replacement [2003] | Medicare-Nir-Michigan City | $0.33 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Michigan City/ | $0.66 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Michigan City/L | $0.66 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $0.66 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Michigan City/Lap | $0.66 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - Michi | $0.66 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - M | $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 - Nir - Michigan City | $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-Nir-Michigan City | $3.38 |
| Cigna [1037] | Cigna Localplus-Nid | $9.16 |
| Blue Cross Illinois [1210] | St Anthony Health-Nir-Stmar&Fhm&Stant Mc | $10.50 |
| Managed Care [2000] | Lutheran Preferred-Nid & Wid & Cid-Carme | $12.60 |
| Cigna [1037] | Cigna HMO-Nid-Michigan City & Laporte | $12.68 |
| Great West Insurance [1055] | Cigna HMO-Nid-Michigan City & Laporte | $12.68 |
| Managed Care [2000] | Cigna HMO-Nid-Michigan City & Laporte | $12.68 |
| Commercial [2001] | Cigna HMO-Nid-Michigan City & Laporte | $12.68 |
| Cigna [1037] | Cigna PPO-Nid-Michigan City | $13.29 |
| Managed Care [2000] | First Health-Nid | $13.40 |
| Commercial [2001] | First Health-Nid | $13.40 |
| Cigna [1037] | Cigna Behavioral Health-Nir-St Anth Mc | $14.70 |
| Managed Care [2000] | Town Of Schererville Employee Fund-Nir | $14.70 |
| Managed Care [2000] | Valueoptions Behav Health-Nir-St Anth Mc | $14.70 |
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