Ketorolac injection, 15 mg at Mercy Hospital Lebanon. CPT J1885.
What Mercy Hospital Lebanon publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$8.62cash price (self-pay)
$14.00list price
$0.14–$18.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Lebn Mo Medicaid | $2.80 |
| Home State Health Plan Contracted [320187] | Hb Lebn Ambetter Exchange | $4.20 |
| BCBS Medicaid Contracted [320046] | Hb Lebn Mo Care Health Plan/Health | $5.29 |
| Medica [20239] | Hb Sprg Lebn Medica Exchange | $5.53 |
| Administrative Payor Contracted [320005] | Hb Lebn Amish ( Mt Vernon M | $6.30 |
| Administrative Payor Contracted [320005] | Hb Lebn Mennonite | $6.30 |
| Healthlink Contracted [320179] | Hb Lebn Network Affliation | $9.10 |
| Cigna Healthcare [20071] | Hb Lebn Cigna | $10.36 |
| Cigna Healthcare Contracted [320071] | Hb Lebn Cigna | $10.36 |
| Aetna Contracted [320008] | Hb Lebn Aetna Commercial | $10.50 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec (Show-Me Consort | $10.50 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Town & Country S | $10.50 |
| Point C [20238] | Hb Lebn Dec Springfield Mfg (Src) | $11.20 |
| Workers Comp [20426] | Hb Sprg Jopl Mercy Employee Work Comp Mo | $11.20 |
| Workers Comp [20426] | Hb Sprg Lebn Aura Casv Mtnv Oha Workers Comp Ne | $11.20 |
| First Health Contracted [320128] | Hb Lebn Coventry Health Care | $11.20 |
| Evolutions Health Care Contracted [320124] | Hb Lebn Evolutions | $11.20 |
| Benefit Management Contracted [320052] | Hb Lebn Dec Ozark Community H | $11.20 |
| Point C Contracted [320238] | Hb Lebn Scurlock Industries | $11.20 |
| Point C Contracted [320238] | Hb Lebn Trailner | $11.20 |
| Point C Contracted [320238] | Hb Lebn City Of Springfield | $11.20 |
| Point C Contracted [320238] | Hb Lebn Dec Springfield Mfg (Src) | $11.20 |
| Point C Contracted [320238] | Hb Lebn Mo State University | $11.20 |
| Point C Contracted [320238] | Hb Lebn S & H Farms | $11.20 |
| Point C Contracted [320238] | Hb Lebn Joplin Supply Co | $11.20 |
| Point C Contracted [320238] | Hb Lebn Dec Heart Of America Beverage Co | $11.20 |
| Healthlink Contracted [320179] | Hb Lebn Healthlink HMO | $11.20 |
| Healthlink Contracted [320179] | Hb Lebn Dec Sapaugh Motors New 1.1.25 | $11.20 |
| Health Systems Inc Contracted [320174] | Hb Lebn Health Systems | $11.20 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Clayco | $11.20 |
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