Ketorolac injection, 15 mg at Maple Grove Hospital. CPT J1885.
What Maple Grove Hospital publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$0.14cash price (self-pay)
$20.89list price
$0.18–$33.22range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica [1086] | Mgh Medica Msho | $0.35 |
| Medica [1086] | Medica Choice Care | $0.46 |
| Medica [1086] | Medica Acclaim | $0.74 |
| Blue Cross [1021] | Mgh BCBS Msho | $0.75 |
| Health Partners [1061] | Mgh Hp Med Adv | $0.75 |
| Humana [2203] | Mgh Humana Med Adv | $0.75 |
| Medicare [1088] | Mgh Medicare | $0.75 |
| Ucare [1148] | Mgh Ucare Msho | $0.75 |
| Ucare [1148] | Mgh Ucare Pmap | $0.75 |
| Medica [1086] | Medica Fv Nm - Aco Vantage | $0.76 |
| Medica [1086] | Mgh Medica Med Adv | $0.76 |
| Ucare [1148] | Mgh Ucare Med Adv | $0.77 |
| Blue Cross [1021] | Mgh BCBS Med Adv | $0.77 |
| United Healthcare [2204] | Mgh UHC Med Adv | $0.78 |
| MEDICA [1086] | MEDICA COMMERCIAL (With WH) | $0.81 |
| Allina Health-Aetna [2201] | Mgh Allina Health Aetna Medicare | $0.82 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Federal | $1.00 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Aware | $1.02 |
| Blue Cross [1021] | Mgh BCBS Pmap | $1.02 |
| Ucare [1148] | Mgh Ucare Ifb | $1.37 |
| America'S PPO [1010] | America'S PPO Healthez Reimbursement Contract | $14.14 |
| America'S PPO [1010] | America'S PPO Reimbursement Contract | $15.04 |
| AETNA [2200] | Aetna Commercial/First Health | $15.67 |
| Phcs [1172] | Phcs Reimbursement Contract | $15.67 |
| Multiplan [1176] | Multiplan Reimbursement Contract | $16.71 |
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