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Ketorolac injection, 15 mg at Mercy Family Medicine - Magazine. CPT J1885.

What Mercy Family Medicine - Magazine publishes for this service, straight from its standard-charges file, last updated June 12, 2026.

Outpatient / ER

$9.00cash price (self-pay)
$12.00list price
$0.34–$6.60range insurers pay
Insurance planNegotiated rate
Tricare Contracted [320380] | Pb Bnvar Humana Tricare$0.34
Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit $0.47
United Healthcare Contracted [320396] | Pb Stl UHC Core$0.75
Administrative Payor [20005] | Pb Mercy Amish/Mennonite$6.60
Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite$6.60

Inpatient

$9.00cash price (self-pay)
$12.00list price
$0.34–$6.60range insurers pay
Insurance planNegotiated rate
Tricare Contracted [320380] | Pb Bnvar Humana Tricare$0.34
Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit $0.47
United Healthcare Contracted [320396] | Pb Stl UHC Core$0.75
Administrative Payor [20005] | Pb Mercy Amish/Mennonite$6.60
Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite$6.60
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