Ketorolac injection, 15 mg at Aurora Medical Center Summit. CPT J1885.
What Aurora Medical Center Summit publishes for this service, straight from its standard-charges file, last updated November 21, 2025.
Outpatient / ER
$21.50cash price (self-pay)
$43.43list price
$0.50–$37.28range 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 | $21.71 |
| Wisconsin Physician Service | Aurora Featured | $22.59 |
| Trilogy | Commercial | $23.88 |
| Wisconsin Physician Service | Arise | $23.88 |
| Wisconsin Physician Service | Statewide | $23.88 |
| United Healthcare | Charter | $25.80 |
| United Healthcare | Exchange | $25.80 |
| United Healthcare | HMO | $25.80 |
| United Healthcare | Nexus | $25.80 |
| Health EOS Plus | Commercial | $26.06 |
| HealthPartners | Broad | $32.58 |
| Health EOS | PPO | $34.75 |
| Aetna | PPO | $35.88 |
| United Healthcare | PPO | $36.57 |
Inpatient
$21.50cash price (self-pay)
$43.43list price
$25.80–$37.28range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health EOS Plus | Commercial | $26.06 |
| HealthPartners | Broad | $32.58 |
| Health EOS | PPO | $34.75 |
| Aetna | PPO | $35.88 |
| United Healthcare | PPO | $36.57 |
| Cigna | PPO | $36.75 |
| Anthem | PPO | $36.91 |
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