Ketorolac injection, 15 mg at Sanford Westbrook Hospital. CPT J1885.
What Sanford Westbrook Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$60.50cash price (self-pay)
$76.02list price
$18.31–$73.27range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $18.40 |
| Sanford Health Plan Align | Medicare Replacement | $32.54 |
| Ucare | Medicare Replacement | $34.89 |
| Wellmark SD | Medicare Replacement | $34.89 |
| Aetna | Medicare Replacement | $35.27 |
| Great Plains Medicare Advantage | Medicare Replacement | $35.27 |
| Health Partners | Medicare Replacement | $35.27 |
| United Healthcare | Medicare Replacement | $35.27 |
| Primewest | Medicare Replacement | $35.92 |
| Primewest | Medicaid Managed Care | $38.47 |
| Security Health Plan | Commercial | $41.81 |
| Health Partners | State Employees | $52.38 |
| Sanford Health Plan | Group Health/True | $60.01 |
| Sanford Health Plan | SD Exchange True | $60.01 |
| Health Partners | Commercial | $60.82 |
| Blue Cross Blue Shield of Minnesota | State Employees | $62.18 |
| United Healthcare | Commercial + Top 20 | $63.48 |
| Aetna | Commercial | $66.06 |
| Ucare | Commercial | $66.79 |
| Medica | Choice | $66.82 |
| Cigna | Commercial | $68.42 |
| First Choice Health Network | Commercial | $68.42 |
| Healthez | Commercial | $68.42 |
| Multiplan | Commercial | $68.42 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $70.33 |
| Sanford Health Plan | Commercial/ND Pers | $70.60 |
| Sanford Health Plan | SD Exchange Commercial | $70.60 |
| Medica | Elect | $71.46 |
Inpatient
$60.50cash price (self-pay)
$76.02list price
$41.59–$73.74range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $41.81 |
| Health Partners | State Employees | $52.38 |
| Sanford Health Plan | Group Health/True | $60.01 |
| Sanford Health Plan | SD Exchange True | $60.01 |
| Health Partners | Commercial | $60.82 |
| United Healthcare | Commercial + Top 20 | $63.48 |
| Aetna | Commercial | $66.06 |
| Ucare | Commercial | $66.79 |
| Medica | Choice | $67.20 |
| Cigna | Commercial | $68.42 |
| First Choice Health Network | Commercial | $68.42 |
| Healthez | Commercial | $68.42 |
| Multiplan | Commercial | $68.42 |
| Sanford Health Plan | Commercial/ND Pers | $70.60 |
| Sanford Health Plan | SD Exchange Commercial | $70.60 |
| Medica | Elect | $71.91 |
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