Ketorolac injection, 15 mg at Mercy Hospital St Louis. CPT J1885.
What Mercy Hospital St Louis publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$2.79cash price (self-pay)
$11.00list price
$0.28–$13.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare Medicaid [20265] | Hb Stlo Cape Molina Healthchoice | $0.72 |
| Aetna Medicaid Contracted [320009] | Hb Stlo Cape Aetna Better Health | $0.72 |
| Medicaid [20240] | Hb Stlo Cape IL Medicaid | $1.65 |
| Medicaid Pending [20241] | Hb Stlo Home State Health Plan Managed Medi | $2.20 |
| Medicaid Pending [20241] | Hb Stlo Missouri Care Health Plan/Healthy B | $2.20 |
| Medicaid [20240] | Hb Stlo Mo Medicaid | $2.20 |
| BCBS Medicaid Contracted [320046] | Hb Stlo Missouri Care Health Plan/ | $2.20 |
| Aetna Contracted [320008] | Hb Stlo Aetna Commercial New 070123 | $2.97 |
| Ambetter [20452] | Hb Stlo Wash Jefn Centene Exchange/Ambetter Eff 090 | $3.30 |
| Medica Contracted [320239] | Hb Stlo Medica Exchange | $3.33 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Clayco Dec | $3.85 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Schaefer Autobody Dec New 0 | $3.85 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Show Me Benefit Consort | $3.85 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Eba - Employer Benefit | $3.85 |
| Aither Health [20449] | Hb Stlo Samc Shine Solar Dec New 110320 | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Quick Trip | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Clayco Dec | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Schaefer Autobo | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Show Me Ben | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Eba - Emplo | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Town And Co | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Easter Seals De | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc City Of Jackson | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Bartel Communic | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Sapaugh Mot | $3.85 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Tall Tree Dec N | $3.85 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Hermann Area District Hospi | $4.40 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Hermann Area Di | $4.40 |
| Cigna Healthcare Contracted [320071] | Hb Stlo Wash Jefn Samc Cigna Be | $4.95 |
| Healthlink Contracted [320179] | Hb Stlo Dec Emcap Ebso | $4.95 |
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