Ketorolac injection, 15 mg at Bellin Memorial Hospital. CPT J1885.
What Bellin Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$0.39cash price (self-pay)
$1.85list price
$0.31–$11.95range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA | Medicare | $0.31 |
| ANTHEM | Managed Medicare | $0.31 |
| COMMUNITY CARE | Medicare Advantage | $0.31 |
| HUMANA | Medicare Advantage | $0.31 |
| ICARE | Managed Medicare | $0.31 |
| Managed Health Service | Medicare Advantage | $0.31 |
| My Choice | Medicare Advantage | $0.31 |
| Network Health | Medicare Advantage | $0.31 |
| Security Health Plan | Medicare Advantage | $0.31 |
| Anthem | HMO/POS | $0.33 |
| Anthem | PPO | $0.33 |
| Anthem | Priority | $0.33 |
| Healthpartners | Focus | $0.33 |
| Healthpartners | Broad | $0.33 |
| Healthpartners | Select | $0.33 |
| United Health Care | HMO | $0.33 |
| Common Ground | ALL PRODUCTS | $0.47 |
| WPS Insurance | BROAD | $0.48 |
| Chorus Community Health Plan | ALL PRODUCTS | $0.92 |
| Aspirus Arise | ALL PRODUCTS | $1.24 |
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $1.29 |
| United Health Care | PPO Options | $1.29 |
| HPS/Paymedix | Medical Rental Network Tier 1 | $1.33 |
| Network Health | ALL PRODUCTS | $1.33 |
| Security Health Plan | All Products | $1.41 |
| Trilogy | MEDICAL RENTAL | $1.41 |
| HPS/PayMedix | Medical Rental Network Tier 2 | $1.44 |
| Evernorth | Behavioral Health | $1.48 |
| HEALTHSMART | Medical Rental Network | $1.48 |
| IHS(ClaimsBridge) | Medical Rental Network | $1.48 |
Inpatient
$0.39cash price (self-pay)
$1.85list price
$0.57–$10.44range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $1.31 |
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