Ketorolac injection, 15 mg at Froedtert Community Hospital - New Berlin. CPT J1885.
What Froedtert Community Hospital - New Berlin publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$21.42cash price (self-pay)
$56.45list price
$0.29–$65.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Medicare Advantage | $0.29 |
| Care Wisconsin | Medicare Advantage | $0.29 |
| Community Care | Medicare Advantage | $0.29 |
| Health Partners | Medicare Advantage | $0.29 |
| Humana | Medicare Advantage | $0.29 |
| ICare | Medicare Advantage | $0.29 |
| Molina | Medicare Advantage | $0.29 |
| Network Health Plan | Medicare Advantage | $0.29 |
| Security Health Plan Secure Savers | Medicare Advantage | $0.29 |
| United Healthcare | Medicare Advantage | $0.29 |
| Network Health Plan | ACA | $21.61 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $22.58 |
| Medical College of Wisconsin | Employee Plan | $22.58 |
| United Healthcare | Choice Plus/Navigate | $23.36 |
| United Healthcare | Nexus | $23.36 |
| United Healthcare | Options PPO | $23.36 |
| Network Health Plan | All Contracted Commercial Payers | $24.02 |
| Centivo | WI 2 Median | $24.27 |
| Anthem Blue Cross Blue Shield | Blue Preferred/HMO/POS | $25.41 |
| Anthem Blue Cross Blue Shield (Healthlink) | Federal/Out of State/PPO | $25.41 |
| Centivo | WI 1 Broad | $28.23 |
| Cigna | All Contracted Commercial Plans | $33.14 |
| Common Ground | All Contracted Commercial Plans | $33.88 |
| Sheboygan Employers Health Network | All Contracted Commercial Payers | $33.88 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $33.88 |
| Health Payment Systems | All Contracted Commercial Plans | $34.50 |
| Health Partners | All Contracted Commercial Payers | $36.70 |
| Trilogy | All Contracted Commercial Plans | $36.70 |
| Americas Choice | PPO | $49.11 |
| HealthEos | All Contracted Commercial Plans | $49.11 |
Inpatient
$21.42cash price (self-pay)
$56.45list price
$23.36–$65.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | All Contracted Commercial Plans | $33.88 |
| Health Payment Systems | All Contracted Commercial Plans | $34.50 |
| Trilogy | All Contracted Commercial Plans | $36.70 |
| Americas Choice | PPO | $49.11 |
| HealthEos | All Contracted Commercial Plans | $49.11 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $49.11 |
| First Health Network | All Contracted Commercial Plans | $49.68 |
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All common services at Froedtert Community Hospital - New Berlin