Ketorolac injection, 15 mg at Froedtert Bluemound Rehabilitation Hospital. CPT J1885.
What Froedtert Bluemound Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$19.58cash price (self-pay)
$44.37list price
$0.31–$45.96range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $0.31 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $0.31 |
| Community Care | Medicare Advantage | $0.31 |
| Health Partners | Medicare Advantage | $0.31 |
| Humana Choice | Medicare Advantage | $0.31 |
| ICare | Medicare Advantage | $0.31 |
| Molina | Medicare Advantage | $0.31 |
| Network Health Plan | Medicare Advantage | $0.31 |
| Priority Health | Medicare Advantage | $0.31 |
| Quartz | Medicare Advantage | $0.31 |
| Security Health Plan | Medicare Advantage | $0.31 |
| United Healthcare | Medicare Advantage/Dual | $0.31 |
| Upper Peninsula Health Plan | Medicare Advantage | $0.31 |
| Wellcare | Medicare Advantage | $0.31 |
| Care Wisconsin/MyChoice | Medicare Advantage | $0.32 |
| Network Health Plan | Marketplace Plans | $0.65 |
| Network Health Plan | All Contracted Commercial Payers | $0.72 |
| Sheboygan Employers Health Network | All Contracted Commercial Payers | $0.80 |
| United Healthcare | Nexus | $0.80 |
| United Healthcare/United Medical Resources | Choice Plus/Navigate | $0.80 |
| United Healthcare/United Medical Resources | Options PPO | $0.80 |
| Anthem Blue Cross Blue Shield (Healthlink) | Federal/Out of State/PPO | $1.75 |
| Anthem Blue Cross Blue Shield | Blue Preferred/POS | $2.36 |
| Centivo | WI 2 Median | $13.31 |
| Centivo | WI 1 Broad | $14.64 |
| Medical College of Wisconsin | Employee Plan | $14.64 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $17.30 |
| Froedtert South | All Contracted Commercial Plans | $17.75 |
| Health Partners | All Contracted Commercial Plans | $27.50 |
| Aetna | All Contracted Commercial Plans | $28.84 |
Inpatient
$19.58cash price (self-pay)
$44.37list price
$15.74–$45.96range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Network Health Plan | Marketplace Plans | $19.61 |
| Anthem Blue Cross Blue Shield | Blue Preferred/POS | $22.19 |
| Centivo | WI 1 Broad | $22.19 |
| Centivo | WI 2 Median | $22.19 |
| Medical College of Wisconsin | Employee Plan | $22.19 |
| Network Health Plan | All Contracted Commercial Payers | $22.19 |
| United Healthcare | Nexus | $22.19 |
| United Healthcare/United Medical Resources | Choice Plus/Navigate | $22.19 |
| United Healthcare/United Medical Resources | Options PPO | $22.19 |
| Anthem Blue Cross Blue Shield (Healthlink) | Federal/Out of State/PPO | $26.62 |
| Aetna | All Contracted Commercial Plans | $28.84 |
| Trilogy | All Contracted Commercial Plans | $28.84 |
| Health Payment Systems | All Contracted Commercial Plans | $29.19 |
| Security Health Plan | All Contracted Commercial Plans | $34.88 |
| Dean Health Plan | All Contracted Commercial Plans | $35.49 |
| Group Health Cooperative | All Contracted Commercial Plans | $35.49 |
| HealthEos | All Contracted Commercial Plans | $35.49 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $35.49 |
| HealthSmart | All Contracted Commercial Plans | $36.83 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $37.71 |
| First Health Network | All Contracted Commercial Plans | $38.38 |
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All common services at Froedtert Bluemound Rehabilitation Hospital