Ketorolac injection, 15 mg at Essentia Health St. Mary's Hospital-Superior. CPT J1885.
What Essentia Health St. Mary's Hospital-Superior publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$9.47cash price (self-pay)
$26.32list price
$0.75–$63.41range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocare/Security Health | Medicare | $8.42 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $8.42 |
| Freedom Blue PPO | Medicare | $8.42 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $8.42 |
| IMCARE MSHO PCC PRIME | Medicare | $8.42 |
| IMCARE MSHO REF REQ | Medicare | $8.42 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $8.42 |
| MEDICA MSHO/Dual Solutions | Medicare | $8.42 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $8.42 |
| MEDICARE ADV PFFS | Medicare | $8.42 |
| Medica Uplan | Commercial | $8.42 |
| ND VA ADMINISTRATION | Medicare | $8.42 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $8.42 |
| PRIMEWEST MSHO | Medicare | $8.42 |
| Platinum Blue/Vantage Blue | Medicare | $8.42 |
| SECURE BLUE MSHO | Medicare | $8.42 |
| SECURITY HEALTH MEDICARE | Medicare | $8.42 |
| UBH COST PLAN | Medicare | $8.42 |
| UBH MSHO/MEDICARE REPLACEMENT | Medicare | $8.42 |
| BCBS MN | Medicaid | $10.10 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $10.10 |
| HealthPartners CARE PMAP | Medicaid | $10.58 |
| Medica Access | Medicaid | $10.58 |
| Sanford HealthPlan | Commercial | $11.29 |
| Sanford HealthPlan | Commercial-NDPERS | $11.29 |
| HealthPartners | SHP | $17.79 |
| BCBS Mn | Shp | $18.30 |
| Medica | Commercial-FI | $18.50 |
| Medica | Commercial-SI | $19.53 |
| BCBS WI | Commercial | $20.27 |
Inpatient
$9.47cash price (self-pay)
$26.32list price
$5.15–$63.41range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthPartners CARE PMAP | Medicaid | $10.58 |
| Sanford HealthPlan | Commercial-NDPERS | $11.29 |
| Sanford HealthPlan | Commercial | $11.88 |
| BCBS MN | Medicaid | $14.48 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $14.48 |
| Medica Access | Medicaid | $16.53 |
| Ucare | Commercial | $17.32 |
| BCBS Mn | Shp | $17.37 |
| HealthPartners | SHP | $18.27 |
| MN BCBS Commercial | BCBS MN | $18.42 |
| Medica | Commercial-FI | $18.50 |
| WEA | Commercial-Narrow Network | $18.95 |
| Medica | Commercial-SI | $19.53 |
| BCBS WI | Commercial | $20.27 |
| Security Health | Commercial | $20.27 |
| WEA | Commercial | $20.27 |
| America's PPO | Commercial | $20.40 |
| Medica | IFB ACO | $20.56 |
| Cigna | Commercial | $20.98 |
| HealthPartners PCC Prime | Commercial | $20.98 |
| HealthPartners | Commercial | $20.98 |
| Medica Choice | Commercial | $21.16 |
| WPS | Commercial | $21.85 |
| Aetna First Health | Commercial | $22.37 |
| HealthEOS | Commercial | $22.64 |
| UHC | Commercial | $23.82 |
| UMR | Commercial | $23.82 |
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All common services at Essentia Health St. Mary's Hospital-Superior