Ketorolac injection, 15 mg at Ascension SE Wisconsin Hospital - Franklin Campus. CPT J1885.
What Ascension SE Wisconsin Hospital - Franklin Campus publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$4.21cash price (self-pay)
$8.82list price
$0.68–$4.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wps | 1272_wisconsin Physician Services PPO 20250701 | $0.68 |
| Network Health | 1289_network Health Plan 20250701 | $0.92 |
| Anthem Blue Connection | 1277_anthem Blue Connection 20250701 | $1.12 |
| Centivo Nw1 | 1253_centivo Nw1 20250101 | $1.20 |
| Centivo Nw2 | 1254_centivo Nw2 20250101 | $1.20 |
| Centivo Nw3 | 1255_centivo Nw3 20250101 | $1.20 |
| Anthem HMO POS | 1275_anthem HMO POS 20250701 | $1.24 |
| Anthem PPO | 1276_anthem PPO 20250701 | $1.95 |
| Cigna | 1273_cigna 20250701 | $2.29 |
| Anthem Pathways | 1242_anthem Pathways 20250101 | $3.71 |
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All common services at Ascension SE Wisconsin Hospital - Franklin Campus