Ketorolac injection, 15 mg at Sanford Tracy Hospital. CPT J1885.
What Sanford Tracy Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$60.50cash price (self-pay)
$75.91list price
$18.31–$71.89range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $18.38 |
| Sanford Health Plan Align | Medicare Replacement | $29.60 |
| Ucare | Medicare Replacement | $31.73 |
| Wellmark SD | Medicare Replacement | $31.73 |
| Aetna | Medicare Replacement | $32.03 |
| Great Plains Medicare Advantage | Medicare Replacement | $32.03 |
| Health Partners | Medicare Replacement | $32.03 |
| United Healthcare | Medicare Replacement | $32.03 |
| Primewest | Medicare Replacement | $32.68 |
| Primewest | Medicaid Managed Care | $36.74 |
| Security Health Plan | Commercial | $41.75 |
| Health Partners | State Employees | $52.30 |
| Sanford Health Plan | Group Health/True | $59.92 |
| Sanford Health Plan | SD Exchange True | $59.92 |
| Health Partners | Commercial | $60.73 |
| Blue Cross Blue Shield of Minnesota | State Employees | $62.09 |
| United Healthcare | Commercial + Top 20 | $63.38 |
| Aetna | Commercial | $65.97 |
| Ucare | Commercial | $66.69 |
| Medica | Choice | $66.72 |
| Cigna | Commercial | $68.32 |
| First Choice Health Network | Commercial | $68.32 |
| Healthez | Commercial | $68.32 |
| Multiplan | Commercial | $68.32 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $70.23 |
| Sanford Health Plan | Commercial/ND Pers | $70.50 |
| Sanford Health Plan | SD Exchange Commercial | $70.50 |
| Medica | Elect | $71.36 |
Inpatient
$60.50cash price (self-pay)
$75.91list price
$41.59–$72.35range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $41.75 |
| Health Partners | State Employees | $52.30 |
| Sanford Health Plan | Group Health/True | $59.92 |
| Sanford Health Plan | SD Exchange True | $59.92 |
| Health Partners | Commercial | $60.73 |
| United Healthcare | Commercial + Top 20 | $63.38 |
| Aetna | Commercial | $65.97 |
| Ucare | Commercial | $66.69 |
| Medica | Choice | $67.10 |
| Cigna | Commercial | $68.32 |
| First Choice Health Network | Commercial | $68.32 |
| Healthez | Commercial | $68.32 |
| Multiplan | Commercial | $68.32 |
| Sanford Health Plan | Commercial/ND Pers | $70.50 |
| Sanford Health Plan | SD Exchange Commercial | $70.50 |
| Medica | Elect | $71.81 |
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