Ketorolac injection, 15 mg at Mosaic Medical Center - Maryville. CPT J1885.
What Mosaic Medical Center - Maryville 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
$0.62–$62.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $0.62 |
| Blue Cross Blue Shield | Medicare Advantage | $0.62 |
| United Healthcare | Medicare Advantage | $0.62 |
| Ambetter | Commercial | $0.62 |
| Amerigroup of Iowa | Managed Medicaid | $1.50 |
| Iowa Total Care | Managed Medicaid | $1.50 |
| Molina of Iowa | Managed Medicaid | $1.50 |
| Sisco | Commercial | $20.96 |
| Cigna | Commercial | $20.96 |
| Centurion | Commercial | $21.24 |
| United Healthcare | Commercial | $22.72 |
| GEHA Shared Services | Commercial | $22.76 |
| Aetna | Commercial | $25.74 |
| Blue Cross PCB | Commercial | $25.74 |
| Freedom Select Healthlink | Commercial | $25.79 |
| Healthlink Open Access | Commercial | $25.79 |
| Blue Cross PC | Commercial | $26.95 |
| Preferred Health Professional | Commercial | $26.95 |
| Multiplan | Commercial | $27.31 |
| United Healthcare of Missouri | Managed Medicaid | $31.98 |
| Home State of Missouri | Managed Medicaid | $33.37 |
| Healthy Blue of Missouri | Managed Medicaid | $37.62 |
Inpatient
$10.63cash price (self-pay)
$30.34list price
$5.00–$45.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $12.14 |
| Sisco | Commercial | $20.96 |
| Cigna | Commercial | $20.96 |
| GEHA Shared Services | Commercial | $22.76 |
| United Healthcare | Commercial | $22.76 |
| Healthlink Open Access | Commercial | $25.79 |
| Freedom Select Healthlink | Commercial | $25.79 |
| Blue Cross PC | Commercial | $25.79 |
| Aetna | Commercial | $25.79 |
| Blue Cross PCB | Commercial | $25.79 |
| Preferred Health Professional | Commercial | $25.79 |
| Multiplan | Commercial | $27.31 |
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