Ketorolac injection, 15 mg at Froedtert Menomonee Falls Hospital. CPT J1885.
What Froedtert Menomonee Falls Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$19.78cash price (self-pay)
$37.68list price
$0.29–$60.98range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allwell | Medicare Advantage | $0.29 |
| Anthem Blue Cross Blue Shield | 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 |
| Network Health Plan | Medicare Advantage | $0.29 |
| Security Health Plan | Medicare Advantage | $0.29 |
| United Healthcare | Medicare Advantage | $0.29 |
| Aetna | Medicare Advantage | $0.30 |
| Care Wisconsin/MyChoice | Medicare Advantage | $0.30 |
| Anthem Blue Cross Blue Shield | HMO | $0.47 |
| Network Health Plan | ACA | $0.72 |
| Network Health Plan | All Contracted Commercial Plans | $0.80 |
| United Healthcare | Choice Plus/Navigate | $0.80 |
| United Healthcare | Nexus | $0.80 |
| United Healthcare | Options PPO | $0.80 |
| Anthem Blue Cross Blue Shield (Healthlink) | PPO | $1.75 |
| Centivo | WI 2 Median | $11.30 |
| Centivo | WI 1 Broad | $12.43 |
| UMR | MCW Employees | $12.43 |
| Froedtert South | All Contracted Commercial Plans | $15.83 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $16.20 |
| Common Ground | All Contracted Commercial Plans | $22.61 |
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $22.82 |
| Health Partners | All Contracted Commercial Plans | $24.49 |
| Trilogy | All Contracted Commercial Plans | $26.00 |
| Health Payment Systems | All Contracted Commercial Plans | $26.21 |
| Aetna | All Contracted Commercial Plans | $26.38 |
| Aspirus | All Contracted Commercial Plans | $30.14 |
Inpatient
$19.78cash price (self-pay)
$37.68list price
$17.98–$60.98range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | HMO | $18.84 |
| Centivo | WI 1 Broad | $18.84 |
| Centivo | WI 2 Median | $18.84 |
| Anthem Blue Cross Blue Shield (Healthlink) | PPO | $22.61 |
| Common Ground | All Contracted Commercial Plans | $22.61 |
| Trilogy | All Contracted Commercial Plans | $26.00 |
| Health Payment Systems | All Contracted Commercial Plans | $26.21 |
| Aetna | All Contracted Commercial Plans | $26.38 |
| Aspirus | All Contracted Commercial Plans | $30.14 |
| IBSI Passport | All Contracted Commercial Plans | $30.52 |
| Americas Choice | PPO | $32.78 |
| Federated Mutual | All Contracted Commercial Plans | $32.78 |
| HealthEos | All Contracted Commercial Plans | $32.78 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $32.78 |
| Savility | All Contracted Commercial Plans | $32.78 |
| First Health Network | All Contracted Commercial Plans | $33.16 |
| HealthSmart | All Contracted Commercial Plans | $33.91 |
| Physicians Plus | HMO | $33.91 |
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