Ketorolac injection, 15 mg at Mercy Hospital Logan County. CPT J1885.
What Mercy Hospital Logan County publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$8.23cash price (self-pay)
$19.19list price
$0.42–$52.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Home State Health Plan Contracted [320187] | Hb Lgnok Ambetter Exchang | $5.76 |
| Essence Healthcare Medicare Contracted [320122] | Hb Lgnok Managed Med | $6.91 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Lgnok Managed Med | $6.91 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Lgnok Managed Medicar | $6.91 |
| BCBS Medicare Advantage Contracted [320047] | Hb Lgnok Managed Medicar | $6.91 |
| Aetna Medicare Advantage Contracted [320010] | Hb Lgnok Managed Medica | $6.91 |
| Indian Health Service Contracted [320198] | Hb Lgnok Managed Medicare | $6.91 |
| Humana Medicare Advantage Contracted [320194] | Hb Lgnok Managed Medic | $6.91 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Lgnok Managed | $6.91 |
| Mental Health Network Medicare [20250] | Hb Lgnok Managed Medicare 100 | $6.91 |
| Mercy Hospice Okc [20252] | Hb Lgnok Managed Medicare 100% W/Seq | $6.91 |
| Windsor Medicare [20424] | Hb Lgnok Managed Medicare 100% W/Seq | $6.91 |
| Elara Caring Aspire Hospice [20433] | Hb Lgnok Managed Medicare 100% W | $6.91 |
| Halo Hcr Inc Hospice [20432] | Hb Lgnok Managed Medicare 100% W/Seq | $6.91 |
| Medica Medicare Advantage [20477] | Hb Lgnok Medica Medicare New 03152 | $6.97 |
| Globalhealth Contracted [320145] | Hb Lgnok Globalhealth Mcr 102% W/Se | $7.10 |
| Cigna Medicare Advantage Contracted [320072] | Hb Lgnok Cigna Mcr W/Se | $7.16 |
| Medica Contracted [320239] | Hb Lgnok Medica Exchange Mcr 136% No Seq | $9.60 |
| Mc Generic Anthem [20456] | Hb Lgnok Blue Choice | $10.17 |
| Aetna Contracted [320008] | Hb Lgnok Aetna Nbd | $10.32 |
| Aetna Contracted [320008] | Hb Lgnok Aetna | $11.26 |
| Mercy Benefit Admin Contracted [320251] | Hb Ada, Ardm, Hmh, Kgfer, Lg | $11.51 |
| Federal Medical Center Contracted [320127] | Hb Lgnok Network Affliati | $11.51 |
| Healthscope Contracted [320182] | Hb Lgnok Network Affliation | $11.51 |
| Healthlink Contracted [320179] | Hb Lgnok Network Affliation | $11.51 |
| Point C Contracted [320238] | Hb Lgnok Network Affliation | $11.51 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Hmh Kgfer L | $11.51 |
| Mercy Benefit Admin Contracted [320251] | Hb Lgnok Network Affliation | $11.51 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Clayco Dec | $12.47 |
| Globalhealth Contracted [320144] | Hb Lgnok Globalhealth | $14.39 |
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