Ketorolac injection, 15 mg at Mercy Pediatrics - Sikeston. CPT J1885.
What Mercy Pediatrics - Sikeston publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$7.91cash price (self-pay)
$10.54list price
$0.30–$9.49range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross And Blue Shield [20053] | Pb Stod Anthem Blue Access Choice | $0.30 |
| Mc Anthem [20455] | Pb Stod Anthem Blue Access Choice - Blue Pref - Pa | $0.30 |
| Cigna Healthcare Contracted [320071] | Pb Cape/Stod Cigna | $0.33 |
| 90 Degree Benefits Contracted [320436] | Pb Cape Stod Dec Coastal Ener | $0.34 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $0.34 |
| Auxiant [20462] | Pb Cape Stod Dec Buchheit | $0.34 |
| Auxiant Contracted [320462] | Pb Cape Stod Dec Buchheit | $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 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $0.47 |
| Meridian Medicaid Contracted [320430] | Pb Meridian IL Mcd Health Plan | $0.52 |
| United Healthcare Contracted [320396] | Pb Cape Stod UHC Exchange - If | $0.75 |
| United Healthcare Contracted [320396] | Pb Cape-Stod UHC Core | $0.75 |
| United Healthcare Contracted [320396] | Pb Stl UHC Core | $0.75 |
| Blue Cross And Blue Shield [20053] | Pb Cape/Stod Anthem Blue Traditio | $1.78 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $5.80 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $5.80 |
| Ebms Contracted [320493] | Pb Cape Stod Dec Crader Distributing | $7.38 |
| Hope Trust Contracted [320488] | Pb Cape Stod Dec Hope Trust Area 99 | $7.38 |
| Reflect Health [20492] | Pb Cape Stod Dec Ww Wood Products | $7.38 |
| Reflect Health Contracted [320492] | Pb Cape Stod Dec Ww Wood Products | $7.38 |
| Multiplan [20270] | Pb Cape / Stod Multiplan Comm 75% | $7.91 |
| Multiplan Contracted [320270] | Pb Cape / Stod Multiplan Comm 75% | $7.91 |
| Workers Comp [20426] | Pb Cape/ Stod Multiplan Work Comp 85% | $8.96 |
| Workers Comp [20426] | Pb Cape/ Stod Multiplan Auto Medical 90% | $9.49 |
Inpatient
$7.91cash price (self-pay)
$10.54list price
$0.30–$9.49range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross And Blue Shield [20053] | Pb Stod Anthem Blue Access Choice | $0.30 |
| Mc Anthem [20455] | Pb Stod Anthem Blue Access Choice - Blue Pref - Pa | $0.30 |
| Cigna Healthcare Contracted [320071] | Pb Cape/Stod Cigna | $0.33 |
| 90 Degree Benefits Contracted [320436] | Pb Cape Stod Dec Coastal Ener | $0.34 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $0.34 |
| Auxiant [20462] | Pb Cape Stod Dec Buchheit | $0.34 |
| Auxiant Contracted [320462] | Pb Cape Stod Dec Buchheit | $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 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $0.47 |
| Meridian Medicaid Contracted [320430] | Pb Meridian IL Mcd Health Plan | $0.52 |
| United Healthcare Contracted [320396] | Pb Cape Stod UHC Exchange - If | $0.75 |
| United Healthcare Contracted [320396] | Pb Cape-Stod UHC Core | $0.75 |
| United Healthcare Contracted [320396] | Pb Stl UHC Core | $0.75 |
| Blue Cross And Blue Shield [20053] | Pb Cape/Stod Anthem Blue Traditio | $1.78 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $5.80 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $5.80 |
| Ebms Contracted [320493] | Pb Cape Stod Dec Crader Distributing | $7.38 |
| Hope Trust Contracted [320488] | Pb Cape Stod Dec Hope Trust Area 99 | $7.38 |
| Reflect Health [20492] | Pb Cape Stod Dec Ww Wood Products | $7.38 |
| Reflect Health Contracted [320492] | Pb Cape Stod Dec Ww Wood Products | $7.38 |
| Multiplan [20270] | Pb Cape / Stod Multiplan Comm 75% | $7.91 |
| Multiplan Contracted [320270] | Pb Cape / Stod Multiplan Comm 75% | $7.91 |
| Workers Comp [20426] | Pb Cape/ Stod Multiplan Work Comp 85% | $8.96 |
| Workers Comp [20426] | Pb Cape/ Stod Multiplan Auto Medical 90% | $9.49 |
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