Ketorolac injection, 15 mg at Mosaic Medical Center Albany. CPT J1885.
What Mosaic Medical Center Albany publishes for this service, straight from its standard-charges file, last updated September 26, 2025.
Outpatient / ER
$10.63cash price (self-pay)
$30.34list price
$0.64–$57.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup of Iowa | Managed Medicaid | $1.50 |
| Iowa Total Care | Managed Medicaid | $1.50 |
| Molina of Iowa | Managed Medicaid | $1.50 |
| Centurion | Commercial | $21.24 |
| Sisco | Commercial | $22.45 |
| Cigna | Commercial | $22.48 |
| Aetna | Medicare Advantage | $23.06 |
| Blue Cross Blue Shield | Medicare Advantage | $23.06 |
| Generic | Medicare Advantage | $23.06 |
| United Healthcare | Medicare Advantage | $23.06 |
| Humana | Medicare Advantage | $23.06 |
| Blue Cross PCB | Commercial | $23.39 |
| Blue Cross PC | Commercial | $25.74 |
| Freedom Select Healthlink | Commercial | $25.74 |
| Aetna | Commercial | $25.77 |
| Coventry | Commercial | $25.79 |
| Healthlink Open Access | Commercial | $25.79 |
| Multiplan | Commercial | $25.79 |
| Preferred Health Professional | Commercial | $25.79 |
| GEHA Shared Services | Commercial | $26.27 |
| United Healthcare | Commercial | $26.27 |
| Healthy Blue of Missouri | Managed Medicaid | $33.37 |
| Home State of Missouri | Commercial | $33.37 |
| United Healthcare of Missouri | Managed Medicaid | $33.37 |
| Ambetter | Commercial | $34.59 |
Inpatient
$10.63cash price (self-pay)
$30.34list price
$5.00–$45.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $12.14 |
| Cigna | Commercial | $22.48 |
| Sisco | Commercial | $22.48 |
| Blue Cross PCB | Commercial | $23.42 |
| Healthlink Open Access | Commercial | $25.79 |
| Multiplan | Commercial | $25.79 |
| Blue Cross PC | Commercial | $25.79 |
| Freedom Select Healthlink | Commercial | $25.79 |
| Preferred Health Professional | Commercial | $25.79 |
| Aetna | Commercial | $25.82 |
| GEHA Shared Services | Commercial | $26.27 |
| United Healthcare | Commercial | $26.27 |
| Coventry | Commercial | $27.31 |
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