Ketorolac injection, 15 mg at Black River Memorial Hospital. CPT J1885.

What Black River Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 8, 2026.

Outpatient / ER

$38.65cash price (self-pay)

$44.80list price

$0.37–$51.64range insurers pay

Insurance plan	Negotiated rate
Quartz Health Solutions, Inc \| Commercial / Self-Insured	$0.37
Humana \| Medicare Advantage	$22.85
Anthem BCBS \| Medicare Advantage	$22.85
My Choice Wisconsin, Inc. \| Family Care / Family Care Partnership - Me	$22.85
My Choice Wisconsin, Inc. \| Medicare Dual Advantage	$22.85
Quartz Health Solutions, Inc \| Senior Preferred	$22.85
Security Health Plan \| Badgercare Plus	$22.85
Security Health Plan \| Medicare Advantage	$22.85
United Health Care \| Medicare Advantage	$22.85
United Health Care \| VA Plan	$22.85
Anthem BCBS \| Commercial	$26.27
Corvel \| Automobile liability / Accident & Health	$27.33
Corvel \| Workers' Compensation	$27.33
Security Health Plan \| EPO	$37.52
The Alliance \| Worker's Compensation	$38.09
Triology Health Solutions \| Health Plan	$40.33
Humana \| Commercial	$41.66
The Alliance \| Health Plan	$41.66
Medica \| Health Plan	$41.84
Security Health Plan \| Commercial	$41.84
United Health Care \| Commercial	$42.25
Association Benefits Solution \| Health Plan	$42.56
First Health Group Corporation \| MultiPlan PPC Network	$42.56
Provider Network of America \| Health Plan	$42.56
Triology Health Solutions \| Workers Compensation	$42.56
Family Health Center of Marshfield \| Health Plan	$42.56
Cofinity \| Cofinity Health Plan	$43.46
Connecticut General Life Insurance Company (CIGNA) \| Health Plan	$43.46
Coventry Health Care \| Health Plan	$43.46
Custom Benefit Administrators \| Health Plan	$43.46

$38.65cash price (self-pay)

$44.80list price

$0.37–$51.64range insurers pay

Insurance plan	Negotiated rate
The Alliance \| Health Plan	$43.02

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