Ketorolac injection, 15 mg at Aspirus Divine Savior Hospital. CPT J1885.
What Aspirus Divine Savior Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$11.42cash price (self-pay)
$22.56list price
$0.34–$80.64range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage Esa | $0.34 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $0.35 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $0.35 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $0.36 |
| Dean Health Plan | Dean Health Plan Commercial Aso Hmo | $0.42 |
| Dean Health Plan | Dean Health Plan Commercial Ppo | $0.42 |
| Dean Health Plan | Dean Health Plan Commercial Hmo | $0.46 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Medicare Advantage Pl | $0.48 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Med | $0.70 |
| Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | $0.72 |
| Dean Health Plan | Dean Health Plan Commercial Pos | $0.79 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Pl | $1.00 |
| Quartz Health Solutions, Inc. | Quartz Wisconsin Medicaid Plans | $1.00 |
| Tricare West | Tricare Plans | $1.00 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Plus Hmo | $1.20 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $1.29 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Dual Hmo Snp | $1.36 |
| Quartz Health Solutions, Inc. | Quartz Fully Insured And Self Insured | $1.36 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | $1.54 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $2.21 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $2.74 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Adva | $24.88 |
| Group Health Cooperative Of South Central Wisconsin | Group Health Coo | $26.22 |
| Dean Health Plan | Dean Health Plan Medicare Advantage | $33.70 |
| Multiplan, Inc | Aetna Health Plan Ppo Networks | $80.64 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.