Ketorolac injection, 15 mg at Mercy Hospital Boonville. CPT J1885.
What Mercy Hospital Boonville publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$4.89cash price (self-pay)
$11.00list price
$0.33–$44.22range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Bnv | $3.24 |
| American Health Advantage Of Mo Mcr [20264] | Hb Bnvar Managed Medicar | $3.24 |
| Mental Health Network Medicare [20250] | Hb Bnvar Managed Medicare | $3.24 |
| Mercy Hospice Okc [20252] | Hb Bnvar Managed Medicare | $3.24 |
| Unicare Medicare [20384] | Hb Bnvar Managed Medicare | $3.24 |
| University Pittsburgh Med Ctr Medicare [20407] | Hb Bnvar Managed Medi | $3.24 |
| Windsor Medicare [20424] | Hb Bnvar Managed Medicare | $3.24 |
| Halo Hcr Inc Hospice [20432] | Hb Bnvar Managed Medicare | $3.24 |
| Elara Caring Aspire Hospice [20433] | Hb Bnvar Managed Medicare | $3.24 |
| Independent Health [20197] | Hb Bnvar Managed Medicare | $3.24 |
| Horizons Medicare [20190] | Hb Bnvar Managed Medicare | $3.24 |
| Cross Timbers Hospice [20098] | Hb Bnvar Managed Medicare | $3.24 |
| Health First Health Plans Medicare [20170] | Hb Bnvar Managed Medicare | $3.24 |
| Indian Health Service [20198] | Hb Bnvar Managed Medicare | $3.24 |
| Medicare [20244] | Hb Bnvar Medicare | $3.24 |
| BCBS Medicare Advantage [20047] | Hb Bnvar Managed Medicare | $3.24 |
| Arkansas Community Care Medicare [20035] | Hb Bnvar Managed Medicare | $3.24 |
| Blue Cross And Blue Shield [20053] | Hb Bnvar Managed Medicare | $3.24 |
| Essence Healthcare Medicare Contracted [320122] | Hb Bnvar Managed Med | $3.24 |
| Globalhealth Contracted [320145] | Hb Bnvar Managed Medicare | $3.24 |
| BCBS Medicare Advantage Contracted [320047] | Hb Bnvar Managed Medicar | $3.24 |
| Aetna Medicare Advantage Contracted [320010] | Hb Bnvar Managed Medica | $3.24 |
| Tricare [20380] | Hb Bnvar Tricare | $3.25 |
| Devoted Health Medicare Contracted [320500] | Hb Bnvar Devoted Health | $3.37 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Bnvar Healths | $3.40 |
| Centivo Contracted [320505] | Hb Bnvar Centivo Mcr | $5.34 |
| Workers Comp [20426] | Hb Wldar,Ozkar,Prsar,Bnvar Work Comp Aetna/Cove | $7.15 |
| Aetna [20008] | Hb Wldar,Ozkar,Prsar,Bnvr Conventry/Aetna | $7.15 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar,B | $9.35 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar D | $9.35 |
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