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Ketorolac injection, 15 mg at Mercy Pediatrics - Carthage. CPT J1885.

What Mercy Pediatrics - Carthage publishes for this service, straight from its standard-charges file, last updated June 12, 2026.

Outpatient / ER

$7.96cash price (self-pay)
$10.61list price
$0.33–$10.61range insurers pay
Insurance planNegotiated rate
Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Access$0.33
Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Preferre$0.33
Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Pathways X (E$0.33
Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Traditional O$0.33
Mc Generic Anthem [20456] | Pb Sprg Jopl Anthem Blue Access$0.33
Cigna Healthcare Contracted [320071] | Pb Sprg/Jopl/Ks Cigna$0.33
AETNA MEDICAID [20009] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans$0.34
Aetna Medicare Advantage [20010] | Pb Sprg/Jopl Aetna Medicare-Missou$0.34
Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo $0.34
Medicare [20244] | Pb Sprg/Jopl/Cape/Stod Medicare Mo 99$0.34
Mercy Benefit Admin [20251] | Pb Sprg-Jopl Bartel Comminications Dec$0.34
Mercy Benefit Admin [20251] | Pb Sprg-Jopl Sapaugh Motors Dec$0.34
Aetna Medicaid Contracted [320009] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advantag$0.34
Aetna Medicare Advantage Contracted [320010] | Pb Sprg/Jopl Aetna Med$0.34
Auxiant Contracted [320462] | Pb Sprg-Jopl Buchheit Dec$0.34
BCBS Medicare Advantage Contracted [320047] | Pb Sprg/Jopl Blue Cross $0.34
Devoted Health Medicare Contracted [320500] | Pb Sprg-Jopl Devoted Hea$0.35
Health Choice Contracted [320166] | Pb Jopl Healthchoice$0.39
Aetna [20008] | Pb Sprg/Jopl Aetna-Coventry$0.40
Aetna Contracted [320008] | Pb Sprg/Jopl Aetna-Coventry$0.40
Healthcare Highways Plus Contracted [320175] | Pb Sprg/Jopl Aetna-Cove$0.40
Novasys [20285] | Pb Jopl Homestate/Novasys-Ambetter Exchange-Mo$0.51
Home State Health Plan Contracted [320187] | Pb Jopl Homestate/Novasys$0.51
Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Alliance Outs$0.67
Mc Anthem [20455] | Pb Sprg/Jopl Anthem Alliance Outside Greene County$0.67
United Healthcare Contracted [320396] | Pb Sprg/Jopl United Healthcare$0.75
Medica [20239] | Pb Sprg-Jopl Medica$0.75
United Healthcare [20396] | Pb Sprg/Jopl United Healthcare All Payer$0.75
BCBS Medicaid [20046] | Pb Sprg/Jopl Missouri Care/Healthy Blue$3.18
BCBS Medicaid Contracted [320046] | Pb Sprg/Jopl Missouri Care/Healthy$3.18

Inpatient

$7.96cash price (self-pay)
$10.61list price
$0.33–$10.61range insurers pay
Insurance planNegotiated rate
Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Access$0.33
Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Preferre$0.33
Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Pathways X (E$0.33
Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Traditional O$0.33
Mc Generic Anthem [20456] | Pb Sprg Jopl Anthem Blue Access$0.33
Cigna Healthcare Contracted [320071] | Pb Sprg/Jopl/Ks Cigna$0.33
AETNA MEDICAID [20009] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans$0.34
Aetna Medicare Advantage [20010] | Pb Sprg/Jopl Aetna Medicare-Missou$0.34
Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo $0.34
Medicare [20244] | Pb Sprg/Jopl/Cape/Stod Medicare Mo 99$0.34
Mercy Benefit Admin [20251] | Pb Sprg-Jopl Bartel Comminications Dec$0.34
Mercy Benefit Admin [20251] | Pb Sprg-Jopl Sapaugh Motors Dec$0.34
Aetna Medicaid Contracted [320009] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advantag$0.34
Aetna Medicare Advantage Contracted [320010] | Pb Sprg/Jopl Aetna Med$0.34
Auxiant Contracted [320462] | Pb Sprg-Jopl Buchheit Dec$0.34
BCBS Medicare Advantage Contracted [320047] | Pb Sprg/Jopl Blue Cross $0.34
Devoted Health Medicare Contracted [320500] | Pb Sprg-Jopl Devoted Hea$0.35
Health Choice Contracted [320166] | Pb Jopl Healthchoice$0.39
Aetna [20008] | Pb Sprg/Jopl Aetna-Coventry$0.40
Aetna Contracted [320008] | Pb Sprg/Jopl Aetna-Coventry$0.40
Healthcare Highways Plus Contracted [320175] | Pb Sprg/Jopl Aetna-Cove$0.40
Novasys [20285] | Pb Jopl Homestate/Novasys-Ambetter Exchange-Mo$0.51
Home State Health Plan Contracted [320187] | Pb Jopl Homestate/Novasys$0.51
Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Alliance Outs$0.67
Mc Anthem [20455] | Pb Sprg/Jopl Anthem Alliance Outside Greene County$0.67
United Healthcare Contracted [320396] | Pb Sprg/Jopl United Healthcare$0.75
Medica [20239] | Pb Sprg-Jopl Medica$0.75
United Healthcare [20396] | Pb Sprg/Jopl United Healthcare All Payer$0.75
BCBS Medicaid [20046] | Pb Sprg/Jopl Missouri Care/Healthy Blue$3.18
BCBS Medicaid Contracted [320046] | Pb Sprg/Jopl Missouri Care/Healthy$3.18
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All common services at Mercy Pediatrics - Carthage