Ketorolac injection, 15 mg at Gundersen Boscobel Area Hospital and Clinic. CPT J1885.
What Gundersen Boscobel Area Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$1.21cash price (self-pay)
$20.00list price
$0.33–$19.20range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | Self Funded | $0.33 |
| Quartz | All Other Self Funded | $0.33 |
| Quartz | Level Funded | $0.33 |
| Quartz | All Products | $0.33 |
| Quartz | Fully Insured | $0.33 |
| Dean Health Plan | All Products | $0.37 |
| Anthem | State Specific | $0.38 |
| Anthem | HMO/POS | $0.38 |
| Anthem | PPO | $0.38 |
| Alliance | Comprehensive/All Products | $1.07 |
| Alliance | Premier/All Products | $1.07 |
| Anthem | Medicare HMO/PPO | $9.80 |
| Dean Health Plan | Medicare Select | $9.80 |
| Health Partners | Medicare Advantage | $9.80 |
| Humana | Medicare Advantage | $9.80 |
| Medical Associates | Medicare Advantage | $9.80 |
| Quartz | Medicare Advantage | $9.80 |
| Health Partners | Medicaid HMO | $10.00 |
| UCARE | MSHO/Minnesota Special Needs | $10.00 |
| UCARE | Dually Eligible | $10.00 |
| UCARE | Non-Dually Eligible | $10.00 |
| Health Partners | Medicare Cost | $12.00 |
| WPS | All Products | $12.08 |
| Medical Associates | All Products | $15.20 |
| UHC | All Payer Appendix | $15.30 |
| Cigna | All Products | $15.42 |
| Group Health of South Central | All Products | $16.00 |
| Medical Associates | CAH Specific | $16.00 |
| Trilogy | All Products | $16.00 |
| UCARE | Qualified Health Plan | $16.00 |
Inpatient
$1.21cash price (self-pay)
$20.00list price
$1.15–$19.20range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $11.78 |
| Anthem | State Specific | $14.52 |
| Anthem | HMO/POS | $14.52 |
| Anthem | PPO | $14.52 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Gundersen Boscobel Area Hospital and Clinic