Ketorolac injection, 15 mg at Mercy Pediatrics - Doctors Park. CPT J1885.
What Mercy Pediatrics - Doctors Park publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$7.94cash price (self-pay)
$10.58list price
$0.33–$9.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Access | $0.33 |
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Preferred/Pat | $0.33 |
| Cigna Healthcare Contracted [320071] | Pb Cape/Stod Cigna | $0.33 |
| 90 Degree Benefits Contracted [320436] | Pb Cape Stod Dec Coastal Ener | $0.34 |
| Aetna [20008] | Pb Cape Aetna | $0.34 |
| Aetna Contracted [320008] | Pb Cape Aetna | $0.34 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $0.34 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Cape Aetna Medic | $0.34 |
| Auxiant Contracted [320462] | Pb Cape Stod Dec Buchheit | $0.34 |
| BCBS Medicare Advantage Contracted [320047] | Pb Cape Anthem Medicare | $0.34 |
| Centivo Contracted [320505] | Pb Pcmh Cape Stod Centivo | $0.34 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $0.34 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $0.34 |
| Imagine 360 Contracted [320494] | Pb Cape Stod Dec Robinson Constructi | $0.34 |
| Medicare [20244] | Pb Sprg/Jopl/Cape/Stod Medicare Mo 99 | $0.34 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Stod Dec City Of Jac | $0.34 |
| Meritain Health Contracted [320261] | Pb Cape Aetna | $0.34 |
| Home State Health Plan Contracted [320187] | Pb Cape Homestate Centene | $0.44 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $0.47 |
| Meridian Medicaid Contracted [320430] | Pb Meridian IL Mcd Health Plan | $0.52 |
| Healthlink [20179] | Pb Cape Healthlink HMO IL. (M2b) | $0.68 |
| Healthlink Contracted [320179] | Pb Cape Healthlink HMO IL. (M2b) | $0.68 |
| Healthlink Contracted [320179] | Pb Cape Healthlink PPO (M1b) | $0.68 |
| Blue Cross And Blue Shield [20053] | Pb Cape/Stod Anthem Blue Traditio | $1.78 |
| Consociate Consolidated Health Contracted [320490] | Pb Cape Consociat | $5.29 |
| Auxiant Contracted [320462] | Pb Cape Consociate Dec 175%Mcr | $5.29 |
| Consociate Consolidated Health Contracted [320490] | Pb Cape Dec Conso | $5.29 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $5.82 |
| Ebms Contracted [320493] | Pb Cape Stod Dec Crader Distributing | $7.41 |
| Hope Trust Contracted [320488] | Pb Cape Stod Dec Hope Trust Area 99 | $7.41 |
Inpatient
$7.94cash price (self-pay)
$10.58list price
$0.33–$9.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Access | $0.33 |
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Preferred/Pat | $0.33 |
| Cigna Healthcare Contracted [320071] | Pb Cape/Stod Cigna | $0.33 |
| 90 Degree Benefits Contracted [320436] | Pb Cape Stod Dec Coastal Ener | $0.34 |
| Aetna [20008] | Pb Cape Aetna | $0.34 |
| Aetna Contracted [320008] | Pb Cape Aetna | $0.34 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $0.34 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Cape Aetna Medic | $0.34 |
| Auxiant Contracted [320462] | Pb Cape Stod Dec Buchheit | $0.34 |
| BCBS Medicare Advantage Contracted [320047] | Pb Cape Anthem Medicare | $0.34 |
| Centivo Contracted [320505] | Pb Pcmh Cape Stod Centivo | $0.34 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $0.34 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $0.34 |
| Imagine 360 Contracted [320494] | Pb Cape Stod Dec Robinson Constructi | $0.34 |
| Medicare [20244] | Pb Sprg/Jopl/Cape/Stod Medicare Mo 99 | $0.34 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Stod Dec City Of Jac | $0.34 |
| Meritain Health Contracted [320261] | Pb Cape Aetna | $0.34 |
| Home State Health Plan Contracted [320187] | Pb Cape Homestate Centene | $0.44 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $0.47 |
| Meridian Medicaid Contracted [320430] | Pb Meridian IL Mcd Health Plan | $0.52 |
| Healthlink [20179] | Pb Cape Healthlink HMO IL. (M2b) | $0.68 |
| Healthlink Contracted [320179] | Pb Cape Healthlink HMO IL. (M2b) | $0.68 |
| Healthlink Contracted [320179] | Pb Cape Healthlink PPO (M1b) | $0.68 |
| Blue Cross And Blue Shield [20053] | Pb Cape/Stod Anthem Blue Traditio | $1.78 |
| Consociate Consolidated Health Contracted [320490] | Pb Cape Consociat | $5.29 |
| Auxiant Contracted [320462] | Pb Cape Consociate Dec 175%Mcr | $5.29 |
| Consociate Consolidated Health Contracted [320490] | Pb Cape Dec Conso | $5.29 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $5.82 |
| Ebms Contracted [320493] | Pb Cape Stod Dec Crader Distributing | $7.41 |
| Hope Trust Contracted [320488] | Pb Cape Stod Dec Hope Trust Area 99 | $7.41 |
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