Ketorolac injection, 15 mg at Fairview Bethesda Hospital. CPT J1885.
What Fairview Bethesda Hospital publishes for this service, straight from its standard-charges file, last updated January 29, 2026.
Outpatient / ER
$1.02cash price (self-pay)
$29.45list price
$0.29–$45.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Itasca Medical Care | Managed Medicaid | $0.29 |
| Primewest | Managed Medicaid | $0.29 |
| South Country Health Alliance | PMAP | $0.29 |
| Itasca Medical Care | Medicare Advantage/MSHO | $0.30 |
| Primewest | MSHO | $0.30 |
| Sanford Health Plan | Medicare Advantage | $0.30 |
| Security Health Plan | Medicare Advantage | $0.30 |
| South Country Health Alliance | Medicare Advantage | $0.30 |
| Hennepin Health | PMAP | $0.31 |
| UCare | PMAP | $0.31 |
| Blue Cross of Minnesota | Medicare Advantage | $0.31 |
| UCare | Individual and Family | $0.31 |
| Medica | Medicare Advantage | $0.32 |
| Health Partners | Medicare Advantage | $0.32 |
| Health Partners | Medicare Cost | $7.20 |
| Health Partners | PMAP | $7.33 |
| Blue Cross of Minnesota | Managed Medicaid | $8.04 |
| Medica | Minnesota Care/AccessAbility/Choice Care Government | $10.32 |
| Medica | MSHO | $12.60 |
| United Healthcare | Core | $15.45 |
| United Healthcare | Commercial | $16.66 |
| Blue Cross of Minnesota | Aware Federal | $16.89 |
| Blue Cross of Minnesota | Commercial | $17.19 |
| Health Partners | Federal | $17.21 |
| Sanford Health Plan | Commercial | $17.35 |
| Health Partners | Commercial | $17.52 |
| America's PPO | EZCare | $17.68 |
| America's PPO | Health EZ | $17.68 |
| Health Partners | Cigna Commercial | $18.39 |
| Medica | BOLD | $19.02 |
Inpatient
$1.02cash price (self-pay)
$29.45list price
$0.67–$45.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | Managed Medicaid | $7.88 |
| Health Partners | Medicare Cost | $9.72 |
| Health Partners | PMAP | $9.89 |
| Medica | Minnesota Care/AccessAbility/Choice Care Government | $10.48 |
| Medica | MSHO | $11.84 |
| UCare | PMAP | $12.33 |
| America's PPO | EZCare | $15.35 |
| United Healthcare | Core | $15.61 |
| Blue Cross of Minnesota | Aware Federal | $16.55 |
| United Healthcare | Commercial | $16.82 |
| Blue Cross of Minnesota | Commercial | $16.86 |
| Sanford Health Plan | Commercial | $17.35 |
| America's PPO | Health EZ | $17.38 |
| Medica | BOLD | $17.91 |
| Medica | City of St Paul and Essential/Uplan | $17.91 |
| Medica | Vantage SI | $17.91 |
| Health Partners | Federal | $18.02 |
| Health Partners | Commercial | $18.35 |
| America's PPO | Commercial | $18.83 |
| Health Partners | Cigna Commercial | $19.27 |
| Medica | Choice | $19.91 |
| Medica | Individual and Family, Elect | $19.91 |
| Security Health Plan | Commercial | $22.09 |
| Health Partners | Cigna Great West | $22.94 |
| First Health | Commercial | $24.16 |
| MultiPlan | Commercial | $25.04 |
| Private Healthcare Systems | Commercial | $25.04 |
| Wisconsin Physician Services | Commercial | $26.51 |
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