Ketorolac injection, 15 mg at Aurora Medical Center Fond du Lac. CPT J1885.
What Aurora Medical Center Fond du Lac publishes for this service, straight from its standard-charges file, last updated November 21, 2025.
Outpatient / ER
$17.69cash price (self-pay)
$53.52list price
$0.50–$60.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Blue Priority | $0.50 |
| Anthem | Blue Preferred | $0.60 |
| Aurora Caregiver | Commercial | $0.68 |
| Aetna | HMO | $0.77 |
| Everpointe Elite | Commercial | $0.82 |
| HealthPartners | Employee Trust Fund | $0.88 |
| HealthPartners | Robin | $0.92 |
| Common Ground | Employee Trust Fund | $0.93 |
| Common Ground | Exchange | $0.93 |
| Centivo | Commercial | $0.98 |
| Common Ground | Envision | $0.98 |
| Health Payment Systems | Commercial | $1.01 |
| Quartz One | Commercial | $1.01 |
| Cigna | PPO-GPPO | $1.13 |
| Quartz Group | Commercial | $1.16 |
| Molina Exchange | Commercial | $1.83 |
| HS Technology | Commercial | $26.77 |
| Wisconsin Physician Service | Aurora Featured | $27.83 |
| Trilogy | Commercial | $29.44 |
| Wisconsin Physician Service | Arise | $29.44 |
| Wisconsin Physician Service | Statewide | $29.44 |
| United Healthcare | Charter | $31.79 |
| United Healthcare | Exchange | $31.79 |
| United Healthcare | HMO | $31.79 |
| United Healthcare | Nexus | $31.79 |
| Health EOS Plus | Commercial | $32.11 |
| HealthPartners | Broad | $40.14 |
| Health EOS | PPO | $42.82 |
| Aetna | PPO | $44.21 |
| United Healthcare | PPO | $45.06 |
Inpatient
$17.69cash price (self-pay)
$53.52list price
$21.22–$60.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health EOS Plus | Commercial | $32.11 |
| HealthPartners | Broad | $40.14 |
| Health EOS | PPO | $42.82 |
| Aetna | PPO | $44.21 |
| United Healthcare | PPO | $45.06 |
| Cigna | PPO | $45.28 |
| Anthem | PPO | $45.49 |
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