Ketorolac injection, 15 mg at New Ulm Medical Center. CPT J1885.
What New Ulm Medical Center publishes for this service, straight from its standard-charges file, last updated June 16, 2026.
Outpatient / ER
$22.36cash price (self-pay)
$41.19list price
$0.51–$41.82range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | BC PMAP (N) | $0.51 |
| Blue Cross Blue Shield of Minnesota | BC Premier(N) | $0.57 |
| BCBS | Bc Aehp (N) | $0.67 |
| Blue Cross Blue Shield of Minnesota | BC High Value/Performance Networ | $0.72 |
| Blue Cross Blue Shield of Minnesota | BC State Health Plan (N) | $0.76 |
| BC AWARE/Blue Plus (NR) | BC AWARE/Blue Plus (NR) | $1.30 |
| UCare PMAP (A B C D E G N O S U R H) | UCare PMAP (ABDMNORSUV) | $8.29 |
| Medica Health System | Medica PMAP (N) | $13.10 |
| Medicaid | Medicaid MA (N) | $18.03 |
| Medicare Other | All Other Medicare (N) | $18.24 |
| Medica | Medica Medicare (R) | $18.30 |
| Medica Health System | Medica Dual Solutions (R) | $18.54 |
| BCBS | BC Medicare (N) | $19.15 |
| All Other Medicaid | All Other Medicaid (N) | $19.77 |
| South Country Health Alliance | SCHA MSHO (N) | $20.39 |
| South Country Health Alliance | SCHA PMAP (N) | $21.35 |
| Aetna | Aetna Elevate (N R) | $25.49 |
| Aetna | Aetna Performance (N R) | $27.54 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $31.77 |
| Medica UBH PMAP | Medica UBH PMAP (N) | $32.95 |
| Hpi-Cigna | Hpi Cigna (N) | $33.68 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $34.60 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $34.60 |
| Medica UBH (N) | Medica UBH (N) | $34.60 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $35.19 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $41.19 |
Inpatient
$22.36cash price (self-pay)
$41.19list price
$24.47–$41.82range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Elevate (N R) | $25.24 |
| Aetna | Aetna Performance (N R) | $27.26 |
| Medica UBH (N) | Medica UBH (N) | $28.83 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $31.77 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $34.60 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $34.60 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $34.84 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $41.19 |
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