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Ketorolac injection, 15 mg at Sanford Medical Center Mayville. CPT J1885.

What Sanford Medical Center Mayville publishes for this service, straight from its standard-charges file, last updated March 4, 2026.

Outpatient / ER

$26.36cash price (self-pay)
$33.22list price
$7.97–$34.17range insurers pay
Insurance planNegotiated rate
Blue Cross Blue Shield of Minnesota | PMAP$8.04
Sanford Health Plan Align | Medicare Replacement$16.41
Ucare | Medicare Replacement$17.60
Aetna | Medicare Replacement$17.80
Blue Cross Blue Shield of North Dakota | Medicare Replacement$17.80
Great Plains Medicare Advantage | Medicare Replacement$17.80
Health Partners | Medicare Replacement$17.80
United Healthcare | Medicare Replacement$17.80
Primewest | Medicare Replacement$18.13
Security Health Plan | Commercial$18.27
Blue Cross Blue Shield of North Dakota | Commercial$22.51
Health Partners | Commercial$25.91
Sanford Health Plan | Group Health/True/SD Exchange True$26.22
Medica | Choice$27.41
United Healthcare | Commercial$27.73
Aetna | Commercial$28.86
Ucare | Commercial$29.18
Medica | Elect$29.30
First Choice Health Network | Commercial$29.89
Healthez | Commercial$29.89
Multiplan | Commercial$29.89
Blue Cross Blue Shield of Minnesota | Commercial$30.73
Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial$30.84

Inpatient

$26.36cash price (self-pay)
$33.22list price
$18.12–$34.17range insurers pay
Insurance planNegotiated rate
Security Health Plan | Commercial$18.27
Health Partners | Commercial$25.91
Sanford Health Plan | Group Health/True/SD Exchange True$26.22
Medica | Choice$27.41
United Healthcare | Commercial$27.73
Aetna | Commercial$28.86
Ucare | Commercial$29.18
Medica | Elect$29.30
First Choice Health Network | Commercial$29.89
Healthez | Commercial$29.89
Multiplan | Commercial$29.89
Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial$30.84
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All common services at Sanford Medical Center Mayville