Ketorolac injection, 15 mg at Kenmore Mercy Hospital. CPT J1885.
What Kenmore Mercy Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$0.31cash price (self-pay)
$2.41list price
$0.16–$5.41range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Alt [100184] | United Healthcare Alt [10018401] | $0.30 |
| United Healthcare Umr [100185] | United Healthcare Umr [10018501] | $0.30 |
| Univera Healthcare [100169] | Univera Article 43 [10016906] | $0.30 |
| Univera Healthcare [100169] | Univera Article 44 [10016907] | $0.30 |
| BCBS Medicare [450116] | Senior Blue Select [45011604] | $0.30 |
| Wellcare [450129] | Wellcare HMO [45012901] | $0.32 |
| Univera Healthcare Essential [100170] | Univera Essential Plan 3 And 4 | $0.33 |
| Fallon Health [450115] | Fallon Health [45011501] | $0.33 |
| Seneca Nation [450119] | Seneca Nation [45011901] | $0.33 |
| Va Veterans Affairs [700001] | Va Ccn Optum [70000103] | $0.33 |
| BCBS Medicare [450116] | Medicare PPO B/C [45011601] | $0.34 |
| Wellcare Fidelis Dual [450451] | Wellcare Fidelis Dual Dsnp [45045103] | $0.34 |
| BCBS Medicare [450116] | Senior Blue [45011606] | $0.34 |
| United Healthcare Medicare [450021] | UHC Care Improvement Plus [45002 | $0.35 |
| United Healthcare Medicare [450021] | UHC Dual Complete Rppo-Snp [4500 | $0.35 |
| Univera Healthcare Essential [100170] | Univera Essential Plan 1 And 2 | $0.40 |
| Univera Healthcare Essential [100170] | Univera Essential Plan 200-250 | $0.40 |
| BCBS Community Blue [100173] | Out Of Area HMO/POS/Bc [10017303] | $0.43 |
| BCBS Community Blue [100173] | POS Align Select [10017312] | $0.43 |
| BCBS Community Blue [100173] | Preferred Choice Tiered [10017314] | $0.43 |
| Iha First Choice [800001] | Iha Ch First Choice [80000101] | $0.49 |
| Iha First Choice [800001] | Iha Ch First Choice Deductible Plan [80000 | $0.49 |
| Independent Health Medicaid [350106] | Medisource [35010601] | $0.49 |
| Independent Health Medicare [450122] | Mcr Passport Advantage [4501220 | $0.49 |
| Iha First Choice [800001] | Iha Non -Ch First Choice [80000102] | $0.49 |
| Independent Health [100165] | Iha Encompass [10016503] | $0.49 |
| INDEPENDENT HEALTH MEDICARE [450122] | IHA Medicare Group [45012205] | $0.49 |
| Blue Cross/Blue Shield [100151] | Empire B/C -Yls [10015107] | $0.50 |
| Blue Cross/Blue Shield [100151] | PPO B/C [10015111] | $0.50 |
| Blue Cross/Blue Shield [100151] | Out Of Area PPO B/C [10015105] | $0.50 |
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