Ketorolac injection, 15 mg at Gundersen St. Elizabeth Hospital and Clinics. CPT J1885.
What Gundersen St. Elizabeth Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$12.18cash price (self-pay)
$20.00list price
$0.33–$19.20range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicaid | $0.33 |
| Group Health of South Central | Medicaid HMO | $0.33 |
| Iowa Total Care | Medicaid | $0.33 |
| Managed Health Service | Managed Medicaid | $0.33 |
| Quartz | All Products | $0.33 |
| Quartz | All Other Self Funded | $0.33 |
| Quartz | Level Funded | $0.33 |
| Quartz | Self Funded | $0.33 |
| Quartz | Medicaid_Badgercare | $0.33 |
| Quartz | Fully Insured | $0.33 |
| South County | Managed Medicaid | $0.33 |
| Aetna | All Products | $0.67 |
| Alliance | Premier/All Products | $1.07 |
| Alliance | Comprehensive/All Products | $1.07 |
| Bcbsmn | Mhcp | $4.95 |
| Medica | Minnesota Care | $8.28 |
| Health Partners | Medicaid HMO | $10.00 |
| Aetna | Medicare Advantage | $10.80 |
| Medica | Medicare Advantage | $11.00 |
| Health Partners | Medicare Cost | $12.00 |
| Anthem | Medicare HMO/PPO | $13.00 |
| Health Partners | Medicare Advantage | $13.00 |
| Humana | Medicare Advantage | $13.00 |
| Quartz | Medicare Advantage | $13.00 |
| South County | Managed Medicare | $13.00 |
| UCARE | Dually Eligible | $13.00 |
| UCARE | Non-Dually Eligible | $13.00 |
| BCBSMN | All Products | $13.77 |
| Medica | AccessAbilty Solution | $13.88 |
| Medica | All Products | $15.36 |
Inpatient
$12.18cash price (self-pay)
$20.00list price
$4.95–$19.20range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $11.78 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Gundersen St. Elizabeth Hospital and Clinics