Ketorolac injection, 15 mg at Mercy Hospital Jefferson. CPT J1885.
What Mercy Hospital Jefferson publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$3.28cash price (self-pay)
$11.00list price
$0.33–$14.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elara Caring Aspire Hospice [20433] | Hb Jefn Medicare And 100% Manage | $0.33 |
| Halo Hcr Inc Hospice [20432] | Hb Jefn Medicare And 100% Managed Medic | $0.33 |
| Kindful Hospice [20434] | Hb Jefn Medicare And 100% Managed Medicare | $0.33 |
| Mercy Hospice Okc [20252] | Hb Jefn Medicare And 100% Managed Medicare | $0.33 |
| Medicare [20244] | Hb Jefn Medicare And 100% Managed Medicare | $0.33 |
| Cross Timbers Hospice [20098] | Hb Jefn Medicare And 100% Managed Medi | $0.33 |
| Generic Medicare Managed Care [20137] | Hb Jefn Medicare And 100% Mana | $0.33 |
| Humana Medicare Advantage [20194] | Hb Jefn Medicare And 100% Managed | $0.33 |
| BCBS Medicare Advantage [20047] | Hb Jefn Medicare And 100% Managed Me | $0.33 |
| American Health Advantage Of Mo Mcr [10473] | Hb Jefn Medicare And 100 | $0.33 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Jefn Medicare | $0.33 |
| Humana Medicare Advantage Contracted [320194] | Hb Jefn Humana Medicar | $0.33 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Jefn Medicare And 100 | $0.33 |
| Globalhealth Contracted [320145] | Hb Jefn Medicare And 100% Managed M | $0.33 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Jefn Medicare And | $0.33 |
| BCBS Medicare Advantage Contracted [320047] | Hb Jefn Medicare And 100 | $0.33 |
| Aetna Medicare Advantage Contracted [320010] | Hb Jefn Coventry Medica | $0.33 |
| Aetna Medicare Advantage Contracted [320010] | Hb Jefn Aetna/Coventry | $0.33 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Jef | $0.33 |
| Medica Medicare Advantage Contracted [320477] | Hb Jefn Medicare And 1 | $0.33 |
| Acentra Health Contracted [320527] | Hb Jefn Medicare And 100% Managed | $0.33 |
| Pace Of The Ozarks Contracted [320518] | Hb Jefn Medicare And 100% Man | $0.33 |
| Cigna Medicare Advantage Contracted [320072] | Hb Jefn Cigna Managed M | $0.34 |
| Essence Healthcare Medicare Contracted [320122] | Hb Jefn Essence Medi | $0.35 |
| Healthscope Contracted [320182] | Hb Dec Jefn Orscheln 125% Mcr | $0.43 |
| Optum Health Behavioral Solutions [520250] | Hb Jefn UHC HMO PPO All P | $0.44 |
| United Medical Resources Contracted [320454] | Hb Jefn UHC HMO PPO All | $0.44 |
| United Healthcare Contracted [320396] | Hb Jefn UHC Compass/Exchange | $0.44 |
| United Healthcare Contracted [320396] | Hb Jefn UHC HMO PPO All Payer | $0.44 |
| United Healthcare Contracted [320396] | Hb Jefn UHC Core New 100121 | $0.44 |
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