Ketorolac injection, 15 mg at Mercy Hospital Ada. CPT J1885.
What Mercy Hospital Ada publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$9.16cash price (self-pay)
$31.54list price
$0.33–$48.98range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mc Generic Anthem [20456] | Hb Ada Blue Cross Choice | $0.33 |
| Mc Anthem [20455] | Hb Ada Blue Cross Choice | $0.33 |
| Blue Cross And Blue Shield [20053] | Hb Ada Blue Cross Choice | $0.33 |
| Blue Cross And Blue Shield [20053] | Hb Ada Blue Cross Advantage PPO | $0.33 |
| Blue Cross And Blue Shield [20053] | Hb Ada Blue Cross Preferred | $0.33 |
| Provider Partners Health Plans Contracted [320450] | Hb Ada Medicare/M | $0.33 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Ada Medicare/Mgd | $0.33 |
| Kindful Hospice Contracted [320434] | Hb Ada Medicare/Mgd Medicare 100 | $0.33 |
| Medica Medicare Advantage Contracted [320477] | Hb Ada Medica Medicare | $0.33 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Ada | $0.33 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Ada Medicare/Mgd Medicar | $0.33 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Ada Medicare/Mgd | $0.33 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Ada Medi | $0.33 |
| Qual Choice Contracted [320325] | Hb Ada Medicare/Mgd Medicare 100% | $0.33 |
| Tricare Contracted [320380] | Hb Ada Medicare/Mgd Medicare 100% | $0.33 |
| Nhc Advantage Medicare Contracted [320282] | Hb Ada Medicare/Mgd Medic | $0.33 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Ada Medicare/M | $0.33 |
| Indian Health Service Contracted [320198] | Hb Ada Medicare/Mgd Medica | $0.33 |
| Humana Medicare Advantage Contracted [320194] | Hb Ada Humana Mcr Adva | $0.33 |
| Globalhealth Contracted [320145] | Hb Ada Global Health Mcr 102% | $0.33 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Ada Cigna Mcr | $0.34 |
| Cigna Medicare Advantage Contracted [320072] | Hb Ada Cigna Mcr 103% | $0.34 |
| Devoted Health Medicare Contracted [320500] | Hb Ada Devoted Health Mc | $0.35 |
| Ambetter Contracted [320452] | Hb Ada Ambetter Exchange Medicare | $0.45 |
| Sunflower Health Plan Contracted [320369] | Hb Ada Ambetter Exchange M | $0.45 |
| Novasys Contracted [320285] | Hb Ada Ambetter Exchange Medicare | $0.45 |
| Home State Health Plan Contracted [320187] | Hb Ada Ambetter Exchange | $0.45 |
| Centivo Contracted [320505] | Hb Ada Centivo Mcr 165% | $0.55 |
| Health Choice Contracted [320166] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, L | $0.63 |
| Kempton Contracted [320214] | Hb Ada Kempton Dec 225% Mcr | $0.74 |
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