Ketorolac injection, 15 mg at Marshfield Medical Center Dickinson Hospital. CPT J1885.
What Marshfield Medical Center Dickinson Hospital publishes for this service, straight from its standard-charges file, last updated February 19, 2026.
Outpatient / ER
$2.12cash price (self-pay)
$36.22list price
$0.18–$68.43range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem BCBS of WI | Medicaid HMO | $0.18 |
| Group Health Cooperative of Eau Claire | Medicaid HMO | $0.18 |
| Managed Health Services | Medicaid HMO | $0.18 |
| Molina Healthcare of WI | Medicaid HMO | $0.18 |
| Security Health Plan (SHP) | BadgerCare Plus/Medicaid SSI | $0.18 |
| UnitedHealth Group of WI | Medicaid HMO | $0.18 |
| Upper Peninsula Health Plan | Medicaid HMO | $0.18 |
| Aetna | Medicare Advantage | $0.34 |
| BCBS of MI | Medicare | $0.34 |
| Health Partners | Medicare | $0.34 |
| Network Health Plan | Medicare Advantage | $0.34 |
| Security Health Plan (SHP) | Medicare Advantage | $0.34 |
| UnitedHealth Group of WI | Medicare Advantage | $0.34 |
| Veteran's Administration (VA CCN) | VA Network | $0.34 |
| Anthem BCBS of WI | Medicare Advantage | $0.35 |
| Group Health Cooperative of Eau Claire | Medicare Advantage | $0.36 |
| Molina Healthcare of WI | HMO | $0.61 |
| Partners Direct | PPO | $0.85 |
| BCBS of MI | PPO/POS | $0.94 |
| Anthem BCBS of WI | HMO/POS/PPO/Traditional | $1.08 |
| UnitedHealth Group of WI | PPO | $1.79 |
| Aetna | Funding Advantage | $11.95 |
| Sanford Health Plan | Commercial | $12.64 |
| Aetna | PPO | $15.63 |
| Network Health Plan | PPO | $16.09 |
| Security Health Plan (SHP) | SimplyOne/SimplyOne ACA/SimplyOne Region | $16.43 |
| Network Health Plan | HMO/POS | $16.55 |
| Common Ground Healthcare Cooperative | ACA Marketplace/EPO | $17.23 |
| Security Health Plan (SHP) | Broad | $18.25 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $18.85 |
Inpatient
$2.12cash price (self-pay)
$36.22list price
$1.30–$68.43range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Funding Advantage | $11.95 |
| Sanford Health Plan | Commercial | $12.64 |
| Aetna | PPO | $15.63 |
| Network Health Plan | PPO | $16.09 |
| Security Health Plan (SHP) | SimplyOne/SimplyOne ACA/SimplyOne Region | $16.43 |
| Network Health Plan | HMO/POS | $16.55 |
| Common Ground Healthcare Cooperative | ACA Marketplace/EPO | $17.23 |
| Security Health Plan (SHP) | Broad | $18.25 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $18.85 |
| Cigna | PPO | $20.69 |
| Cofinity | PPO | $20.69 |
| First Health | PPO Network | $20.69 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $20.69 |
| HealthEOS by MultiPlan Inc. | PPO Network | $20.69 |
| Humana / ChoiceCare | EPO/POS/PPO/Preferred PPO | $20.69 |
| Priority Health | Commercial | $20.69 |
| WPS Health Insurance | PPO | $20.69 |
| Anthem BCBS of WI | HMO/POS/PPO/Traditional | $20.87 |
| HAP HealthEOS | EOS | $21.38 |
| UnitedHealth Group of WI | PPO | $21.38 |
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All common services at Marshfield Medical Center Dickinson Hospital