Ketorolac injection, 15 mg at Froedtert West Bend Hospital. CPT J1885.
What Froedtert West Bend Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$30.25cash price (self-pay)
$61.38list price
$0.29–$64.36range 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 |
| 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 |
| Aetna | Medicare Advantage | $0.30 |
| Care Wisconsin | Medicare Advantage | $0.30 |
| Anthem Blue Cross Blue Shield | HMO | $0.47 |
| Network Health Plan | ACA | $0.72 |
| Sheboygan Employers Health Network | All Contracted Commercial Payers | $0.80 |
| Network Health Plan | All Contracted Commercial Payers | $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 | PPO | $1.75 |
| Centivo | WI 2 Median | $18.41 |
| Centivo | WI 1 Broad | $20.25 |
| UMR | MCW Employees | $20.25 |
| Froedtert South | All Contracted Commercial Plans | $25.78 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $26.39 |
| Common Ground | All Contracted Commercial Plans | $36.83 |
| Health Payment Systems | Group Specific | $38.66 |
| Health Partners | All Contracted Commercial Plans | $39.89 |
| Aetna | All Contracted Commercial Plans | $42.97 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $49.10 |
Inpatient
$30.25cash price (self-pay)
$61.38list price
$27.50–$64.36range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | HMO | $30.69 |
| Centivo | WI 1 Broad | $30.69 |
| Centivo | WI 2 Median | $30.69 |
| Anthem Blue Cross Blue Shield | PPO | $36.83 |
| Common Ground | All Contracted Commercial Plans | $36.83 |
| Health Payment Systems | Group Specific | $38.66 |
| Aetna | All Contracted Commercial Plans | $42.97 |
| Health Payment Systems | Other Commercial Plans | $49.62 |
| Trilogy | All Contracted Commercial Plans | $50.33 |
| Americas Choice | PPO | $53.39 |
| HealthEos | All Contracted Commercial Plans | $53.39 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $53.39 |
| First Health Network | All Contracted Commercial Plans | $54.01 |
| Hfn | PPO | $55.24 |
| IBSI Passport | All Contracted Commercial Plans | $55.24 |
| Cigna | All Contracted Commercial Plans | $58.30 |
| HealthSmart | All Contracted Commercial Plans | $58.30 |
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