Ketorolac injection, 15 mg at Mercy Family Medicine - Mansfield. CPT J1885.
What Mercy Family Medicine - Mansfield 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
$0.47–$10.37range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| 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
$14.15cash price (self-pay)
$18.86list price
$0.47–$10.37range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| 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 | $5.70 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $10.37 |
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