Ketorolac injection, 15 mg at Sanford Luverne Medical Center. CPT J1885.
What Sanford Luverne Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$60.52cash price (self-pay)
$75.83list price
$18.31–$72.37range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $18.36 |
| Sanford Health Plan Align | Medicare Replacement | $26.69 |
| Ucare | Medicare Replacement | $28.59 |
| Aetna | Medicare Replacement | $28.89 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $28.89 |
| Great Plains Medicare Advantage | Medicare Replacement | $28.89 |
| Health Partners | Medicare Replacement | $28.89 |
| United Healthcare | Medicare Replacement | $28.89 |
| Primewest | Medicare Replacement | $29.46 |
| Primewest | Medicaid Managed Care | $35.87 |
| Sanford Health Plan | Group Health/True | $40.63 |
| Sanford Health Plan | SD Exchange True | $40.63 |
| Security Health Plan | Commercial | $41.71 |
| Sanford Health Plan | Commercial/ND Pers | $47.80 |
| Sanford Health Plan | SD Exchange Commercial | $47.80 |
| Health Partners | State Employees | $52.25 |
| Health Partners | Commercial | $60.66 |
| Blue Cross Blue Shield of Minnesota | State Employees | $62.03 |
| United Healthcare | Commercial + Top 20 | $63.32 |
| Aetna | Commercial | $65.90 |
| Ucare | Commercial | $66.62 |
| Medica | Choice | $66.65 |
| Cigna | Commercial | $68.25 |
| First Choice Health Network | Commercial | $68.25 |
| Healthez | Commercial | $68.25 |
| Multiplan | Commercial | $68.25 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $70.16 |
| Medica | Elect | $71.74 |
Inpatient
$60.52cash price (self-pay)
$75.83list price
$40.53–$72.37range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $40.63 |
| Sanford Health Plan | SD Exchange True | $40.63 |
| Security Health Plan | Commercial | $41.71 |
| Sanford Health Plan | Commercial/ND Pers | $47.80 |
| Sanford Health Plan | SD Exchange Commercial | $47.80 |
| Health Partners | State Employees | $52.25 |
| Health Partners | Commercial | $60.66 |
| Blue Cross Blue Shield of Minnesota | State Employees | $62.03 |
| United Healthcare | Commercial + Top 20 | $63.32 |
| Aetna | Commercial | $65.90 |
| Ucare | Commercial | $66.62 |
| Medica | Choice | $67.03 |
| Cigna | Commercial | $68.25 |
| First Choice Health Network | Commercial | $68.25 |
| Healthez | Commercial | $68.25 |
| Multiplan | Commercial | $68.25 |
| Medica | Elect | $71.74 |
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