Ketorolac injection, 15 mg at CHI St. Alexius Health Devils Lake. CPT J1885.
What CHI St. Alexius Health Devils Lake publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1.03cash price (self-pay)
$11.45list price
$0.74–$12.48range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - ND | Commercial|All Plans | $0.74 |
| Medica | Medicare|All Plans | $4.36 |
| BCBS - ND | Medicare|All Plans | $4.44 |
| BCBS - ND | Medicaid|All Plans | $6.07 |
| Sanford Health Plan | Commercial|All Plans | $8.25 |
| United | Commercial|New Business | $8.36 |
| United | Commercial|All Other Plans | $9.51 |
| Medica | Commercial|All Plans | $10.54 |
| Health Partners | Commercial|All Plans | $10.88 |
Inpatient
$1.03cash price (self-pay)
$11.45list price
$1.77–$12.48range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial|All Plans | $8.25 |
| United | Commercial|New Business | $8.36 |
| United | Commercial|All Other Plans | $9.51 |
| Medica | Commercial|All Plans | $10.54 |
| Health Partners | Commercial|All Plans | $10.88 |
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