Ketorolac injection, 15 mg at Range Regional Health Services. CPT J1885.
What Range Regional Health Services publishes for this service, straight from its standard-charges file, last updated January 29, 2026.
Outpatient / ER
$1.08cash price (self-pay)
$28.44list price
$0.15–$50.51range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | PMAP | $0.15 |
| Itasca Medical Care | Managed Medicaid | $0.29 |
| Primewest | Managed Medicaid | $0.29 |
| UCare | PMAP | $0.30 |
| 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 |
| UCare | Medicare Advantage/MSHO | $0.30 |
| United Healthcare | Medicare Advantage | $0.30 |
| WellCare | Medicare Advantage | $0.30 |
| Blue Cross of Minnesota | Medicare Advantage | $0.31 |
| UCare | Individual and Family Plans | $0.31 |
| Medica | Medicare Advantage Non-SNP | $0.32 |
| Health Partners | Medicare Advantage | $0.32 |
| Blue Cross of Minnesota | Aware Federal | $0.73 |
| Blue Cross of Minnesota | Aware/Blue Plus | $0.74 |
| Medica | Managed Medicaid | $9.77 |
| Medica | AccessAbility | $10.68 |
| Medica | MSHO-Dual/Medicare Advantage SNP | $11.66 |
| Health Partners | Medicare Cost | $14.75 |
| Health Partners | PMAP | $15.03 |
| Sanford Health Plan | Commercial | $16.75 |
| United Healthcare | Commercial | $18.51 |
| Security Health Plan | Commercial | $21.33 |
| First Health | Commercial | $23.32 |
| Health Partners | Federal | $23.34 |
| Medica | Commercial | $23.56 |
| Health Partners | Commercial | $23.76 |
| MultiPlan | Commercial | $24.17 |
Inpatient
$1.08cash price (self-pay)
$28.44list price
$1.15–$49.76range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Cost | $12.94 |
| Health Partners | PMAP | $13.17 |
| Sanford Health Plan | Commercial | $16.75 |
| Security Health Plan | Commercial | $21.33 |
| Health Partners | Federal | $22.24 |
| Health Partners | Commercial | $22.64 |
| United Healthcare | Commercial | $22.85 |
| First Health | Commercial | $23.32 |
| Medica | Commercial | $23.66 |
| Health Partners | Cigna Commercial | $23.77 |
| MultiPlan | Commercial | $24.17 |
| Private Healthcare Systems | Commercial | $24.17 |
| America's PPO | Commercial/EZCare/Health EZ | $25.60 |
| Wisconsin Physician Services | Commercial | $25.60 |
| Health Partners | Cigna Great West | $28.30 |
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