Ketorolac injection, 15 mg at Mercy Hospital Healdton. CPT J1885.
What Mercy Hospital Healdton publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$13.90cash price (self-pay)
$21.38list price
$0.84–$19.24range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choice Contracted [320166] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, L | $0.84 |
| Humana Medicaid Contracted [320486] | Hb Hmh Ok Medicaid (Soonercare) | $3.30 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Hmh Ok Medi | $3.30 |
| Aetna Medicaid Contracted [320009] | Hb Hmh Ok Medicaid (Soonercare) | $3.30 |
| Medicaid [20240] | Hb Hmh Ok Medicaid (Soonercare) | $3.30 |
| Humana Contracted [320193] | Hb Hmh Managed Medicare 100% W/Seq | $5.87 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Hmh Managed Me | $5.87 |
| Humana Medicare Advantage Contracted [320194] | Hb Hmh Managed Medicar | $5.87 |
| Indian Health Service Contracted [320198] | Hb Hmh Managed Medicare 10 | $5.87 |
| Nhc Advantage Medicare Contracted [320282] | Hb Hmh Managed Medicare 1 | $5.87 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Hmh Managed Medicare | $5.87 |
| Essence Healthcare Medicare Contracted [320122] | Hb Hmh Managed Medic | $5.87 |
| Medica Medicare Advantage [20477] | Hb Hmh Medica Medicare W/Seq New 0 | $5.87 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Hmh Managed Medic | $5.87 |
| BCBS Medicare Advantage Contracted [320047] | Hb Hmh Managed Medicare | $5.87 |
| Aetna Medicare Advantage Contracted [320010] | Hb Hmh Managed Medicare | $5.87 |
| Globalhealth Contracted [320145] | Hb Hmh Globalhealth Mcr 102% W/Seq | $5.99 |
| Cigna Medicare Advantage Contracted [320072] | Hb Hmh Cigna Mcr 103% | $6.05 |
| Home State Health Plan Contracted [320187] | Hb Hmh Ambetter Exchange | $6.41 |
| Community Care Contracted [320080] | Hb Hmh Community Care State 150% | $8.02 |
| Medica Contracted [320239] | Hb Hmh Medica Exchange 136% Mcr No Seq | $8.14 |
| Mercy Benefit Admin Contracted [320251] | Hb Ada, Ardm, Hmh, Kgfer, Lg | $12.83 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Dec Town An | $12.83 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Clayco Dec | $13.90 |
| First Health Contracted [320128] | Hb Hmh First Health | $14.62 |
| Healthsmart Accel Contracted [320183] | Hb Hmh Healthsmart Accel | $14.97 |
| Healthcare Highways Plus Contracted [320175] | Hb Ada, Hmh, Kgfer, Lgn | $16.04 |
| Healthcare Highways Plus Contracted [320175] | Hb Hmh, Kgfer, Lgnok, L | $16.04 |
| Benefit Management Contracted [320052] | Hb Hmh,Kgfer,Lgnok,Lhcp,Tish, | $16.04 |
| Cigna Healthcare Contracted [320071] | Hb Hmh Cigna | $16.04 |
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